Search › Mississippi › 171400000X
Lajuanda Portis, MLS
NPI 1588357404 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4840 Mcwillie Cir
Jackson, MS 39206 - Phone
- (601) 954-5847
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi