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General NPI Number Information
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NPI Number | 1033361233
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Entity Type | Individual
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Provider Name | LELOUISE TINDALL DAVIS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1 LAYFAIR DR STE 120
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City | FLOWOOD
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State | MS
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Zip | 39232
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Country | US
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Telephone | 601-932-0238
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Fax | 601-932-4391
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Provider Business Mailing Address
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Address Line | 1350 E WOODROW WILSON AVE
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-932-0238
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Fax | 601-932-4391
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R855506
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License Number State | MS
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