Kristy Ezell, LPN
Licensed Practical Nurse in Laurel, MS. Individual provider (NPI-1).
NPI number1477123768
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1477123768
- Entity type
- Individual (NPI-1)
- Name
- Kristy Ezell
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P316351 | MS | Yes |
Practice location
934 West DrLaurel, MS 39440-4702
Phone 601-426-7520 · Fax 601-428-5790
Mailing address
Po Box 18679Hattiesburg, MS 39404-8679
Phone 601-705-1901 · Fax 601-705-1952
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All 25 Licensed Practical Nurse providers in Laurel · All 913 providers in Laurel
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