Individual provider · Type 1 NPI

Mary Faser Lovertich, PA-C

Medical Physician Assistant · Jackson, MS

NPI number 1366294175 Active

Practice location

1200 N State St Ste 270
Jackson, MS 39202-2027

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00793 (MS)

Medical Physician Assistant: Definition to come...

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About NPI 1366294175

Mary Faser Lovertich, PA-C's National Provider Identifier is 1366294175, issued on Apr 4, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jackson, MS. The record was last updated on Apr 12, 2024.