Individual provider · Type 1 NPI

Lisa Deloris Slade, FNP-BC

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1013080027 Active

Practice location

605 Stadium Dr
Hattiesburg, MS 39401-4156

Fax (601) 450-0321

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR772518 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1013080027

Lisa Deloris Slade, FNP-BC's National Provider Identifier is 1013080027, issued on Nov 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 9, 2015.