MS. PHYLLIS J LEE CNP NPI 1447426192

NPI Information

  • NPI: 1447426192
  • Provider Name: MS. PHYLLIS J LEE, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 180 WSF TATUM DR
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 450-0805

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NPI Details

MS. Phyllis J Lee, CNP is a family nurse practitioner in Hattiesburg, MS. MS. Phyllis J Lee, CNP NPI is 1447426192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

180 WSF TATUM DR
HATTIESBURG, MS
ZIP 39401-700
Phone: (601) 450-0805
Fax: (601) 450-0806

The enumeration date for this NPI number is 5/2/2008 and was last updated on 2/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR867439MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106072709MEDICAIDMISSISSIPPI
25883830OTHERMISSISSIPPICIGNA
3302I502638MEDICARE PINMISSISSIPPI
4P00828627OTHERMISSISSIPPIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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