LISA MICHELLE SANFORD

BOONEVILLE, MS
NPI1770885121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R867344)
Enumeration Date2010-11-17
Last Update Date2018-04-19
Business Address
-- LISA MICHELLE SANFORD FNP-BC
618 COUNTY ROAD 5031
BOONEVILLE, MS 38829-9410
Phone number: 662-365-0200
Mailing Address
-- LISA MICHELLE SANFORD FNP-BC
618 COUNTY ROAD 5031
BOONEVILLE, MS 38829-9410
Phone number: 901-261-4848