Individual provider · Type 1 NPI

Lisa Lathem, NP

Family Nurse Practitioner · Jackson, MS

NPI number 1710210794 Active

Practice location

971 Lakeland Dr, Suite 557
Jackson, MS 39216-4643

Fax (601) 326-4632

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR672106 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1710210794

Lisa Lathem, NP's National Provider Identifier is 1710210794, issued on Sep 9, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Apr 30, 2015.