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Contact Information

LISA TERRELL
411 FULTON STREET
GREENWOOD, MS38930
 Phone: 662-207-5657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA TERRELL · (Female)

NPI # 1225447923
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2014
Last updated 12/10/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R850223
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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