Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DETRA LA'QUEL HUMPHRIES, RN
ActiveMS. DETRA LA'QUEL HUMPHRIES, RN is a Nurse Anesthetist, Certified healthcare provider located in JACKSON, Mississippi. NPI 1033805569 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · JACKSON, MS
Registration Details
- NPI Number
- 1033805569
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2023 (3.2855340379443 yrs)
- Last Updated
- Apr 17, 2023
- License
-
R865122 (MS)
Practice Information
- Address
-
1935 LAKELAND DR STE 900JACKSON, MS, 392165028Browse MS providers · Browse ZIP 39216
- Phone
- 6017182487
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| TERINEI LOREL ANDREWS | REGISTERED NURSE | 1053908780 |
| MRS. CATINA FULLER | — | 1407430390 |
| MRS. AMY BLAINE SANDERS | RN | 1578147450 |
| GEBRIA ALLEN | RN | 1942996798 |
| JOSHUA GOEGLEIN | RN | 1225711336 |
| MICHAL SUMERALL | RN | 1689429706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.