OrganizationActive
Aa Primary Care Services, LLC
NPI 1962762401 · Family Nurse Practitioner · Hattiesburg, MS
Provider details
- NPI number
- 1962762401
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Lisa Parker, Owner
- License
- R852821 (MS)
Mailing address
134 Jervis Mims Rd
Hattiesburg, MS 39401-8864
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.