Mrs. Kellie Smith Lane
Mrs. Kellie Smith Lane is a Family Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
3502 W Northside DrJackson, MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 364-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R865577 (MS) |
|---|
Record details
| NPI number | 1306868708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 24, 2006 |
| Last updated in NPPES | January 5, 2017 |
| Mailing address | 3502 W Northside Dr, Jackson, MS 39213-4454 |
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