Individual provider · Type 1 NPI

Kristy Ezell, LPN

Licensed Practical Nurse · Laurel, MS

NPI number 1477123768 Active

Practice location

934 West Dr
Laurel, MS 39440-4702

Fax (601) 428-5790

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP316351 (MS)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477123768

Kristy Ezell, LPN's National Provider Identifier is 1477123768, issued on Jun 29, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laurel, MS. The record was last updated on Jul 7, 2021.