LORI C BRENT

JACKSON ONCOLOGY ASSOCIATES

Dr LORI C BRENT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2001.

Contact

JACKSON ONCOLOGY ASSOCIATES

2368 GROVE ST
VICKSBURG
MS
391832857

Tel: 6016383447

LORI C BRENT Information

Npi 1992958169
Pac Id 1658433750
Professional Enrollment Id I20081226000117
Last Name BRENT
First Name LORI
Middle Name C
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JACKSON ONCOLOGY ASSOCIATES
Group Practice Pac Id 2860392735
Number Of Group Practice Members 14
Line 1 Street Address 2368 GROVE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VICKSBURG
State MS
Zip Code 391832857
Phone Number 6016383447
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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