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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANNE LAUDERDALE, DO

Active Sole Proprietor

JESSICA ANNE LAUDERDALE, DO is a Family Medicine healthcare provider located in PONTOTOC, Mississippi. NPI 1093095523 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PONTOTOC, MS

Registration Details

NPI Number
1093095523
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2011 (14.956446618036 yrs)
Last Updated
Nov 17, 2023
Licenses
L2069591 (MI)
23832 (MS)
Sole Proprietor
Yes

Practice Information

Address
11 E JEFFERSON ST
PONTOTOC, MS, 388632807
Browse MS providers · Browse ZIP 38863
Phone
6624896041
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in PONTOTOC, MS

Name Credential NPI
TIMOTHY FRANK THOMPSON M.D. 1376518308
STEPHEN MONTGOMERY MD 1699735159
ANDREA J WARREN DO 1992758775
RANDEL GIBSON DO 1750336335
DR. DENISE HEFNER SOJOURNER MD 1770699670
MRS. FLAVIA H WEST MD 1538276191
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.