Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Andrea Latrice Richmond, AGNP-C

Individual provider Nurse Practitioner · NPI 1164350799

Miss. Andrea Latrice Richmond, AGNP-C is a Nurse Practitioner in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

1854 Madison Cv E
Southaven, MS 38671-7357
Phone: (901) 281-0728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 908284 (MS)

Record details

NPI number1164350799
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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