Lauderdale, Jessica Anne

Lauderdale, Jessica Anne is an sole proprietor health care provider with primary practice located at 11 E Jefferson St , Pontotoc MS 38863-2807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lauderdale, Jessica Anne can be contacted via phone (662) 489-6041.

Contact Information

Primary practice address
11 E Jefferson St Pontotoc MS 38863-2807
Phone: (662) 489-6041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X L2069591 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23832 Mississippi

Profile Details

NPI number 1093095523
LBN Legal business name Lauderdale, Jessica Anne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2011
Last updated Nov 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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