NPI 1861920407

Micah a Ladner Fnp-C LLC

Organisation Family Nurse Practitioner Kiln, MS

Practice location

Address: 22549 Fenton Dedeaux Rd, Kiln, MS 39556-6576
Phone: (228) 493-3404
Fax: (228) 493-3404
Mailing address: PO Box 6571, Diamondhead, MS 39525-6501

Authorised official

Name: Micah Anthony Ladner
Title: Owner
Phone: (228) 493-3404

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 901609 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1861920407
Entity type: Organization
NPI issued: 26 May 2017
Record last updated: 26 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.