Individual provider · Type 1 NPI

Aisha Renea Outlaw, FNP

Family Nurse Practitioner · Starkville, MS

NPI number 1174980478 Active

Practice location

400 Hospital Rd
Starkville, MS 39759-2163

Mailing address

103 Eudora Welty Drive, J-02
Starkville, MS 39759-2163

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR866124 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1174980478

Aisha Renea Outlaw, FNP's National Provider Identifier is 1174980478, issued on Jan 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Starkville, MS. The record was last updated on Jan 19, 2016.