Lisa Geraldine Langley in Jackson - Family

Lisa Geraldine Langley - NPI 1811912736

Lisa Geraldine Langley is a Family in Jackson, Mississippi. Lisa Geraldine Langley practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Geraldine Langley is 1811912736. The last update date is 2007-07-08.

Lisa Geraldine Langley's current location address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641305. The mailing address for Lisa Geraldine Langley is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Geraldine Langley
Address 1500 E Woodrow Wilson Ave, Jackson, Mississippi
Phone Number 6013624471
Fax Number 6013641305
Sole Proprietor Y
Credentials NP

NPI Number Detail

NPI Number 1811912736
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1500 E Woodrow Wilson Ave
City Jackson
State Mississippi (MS)
Post Code 392165116
Phone Number 6013624471
Fax Number 6013641305

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R629405
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Lisa Geraldine Langley

What is the unique provider identifier assigned to Lisa Geraldine Langley?

The Lisa Geraldine Langley has been issued the NPI (National Provider Identifier) 1811912736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Lisa Geraldine Langley's physical address?

The Lisa Geraldine Langley is physically located at 1500 E Woodrow Wilson Ave, in the city of Jackson, MS, with the postal code 392165116.

What is Lisa Geraldine Langley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lisa Geraldine Langley is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811912736 to Lisa Geraldine Langley?

The Centers for Medicare & Medicaid Services originally issued the 1811912736 to Lisa Geraldine Langley on 2006-07-13.

As of what date was the information regarding Lisa Geraldine Langley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa Geraldine Langley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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