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1790270874
LACY BRASIER SMITH
JACKSON, MS
NPI
1790270874
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Former Name
LACY BRASIER CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS 902755)
Enumeration Date
2018-06-29
Last Update Date
2020-01-16
Business Address
LACY BRASIER SMITH AGACNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1542
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Mailing Address
LACY BRASIER SMITH AGACNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2005
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