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Zenotha Larry, NP

Nurse Practitioner, Women's Health in Jackson, MS. Individual provider (NPI-1).

NPI number1659615557
StatusActive
Last updated in NPPESMay 16, 2016

Details

NPI
1659615557
Entity type
Individual (NPI-1)
Name
Ms. Zenotha Larry
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2012
Last updated
May 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's HealthR877587MSYes

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Phone 601-362-5321

Mailing address

3502 W Northside Dr
Jackson, MS 39213-4454

Phone 601-362-5321

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Other Women's Health Nurse Practitioner providers in Jackson, MS

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