Healthcare Provider Details

I. General information

NPI: 1154941375
Provider Name (Legal Business Name): LASHEENA ARMSTRONG MSN CNM RNC-OB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 MARTIN LUTHER KING ST
MOUND BAYOU MS
38762-9314
US

IV. Provider business mailing address

106 GARRETT DR
BATESVILLE MS
38606-1217
US

V. Phone/Fax

Practice location:
  • Phone: 662-588-8772
  • Fax:
Mailing address:
  • Phone: 662-588-8772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number899617
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number899617
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number899617
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number890376
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: