NPI 1093095523

Jessica Anne Lauderdale, DO

Practitioner Family Medicine Physician Pontotoc, MS

Practice location

Address: 11 E Jefferson St, Pontotoc, MS 38863-2807
Phone: (662) 489-6041

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 23832 (MS)

Other Family Medicine providers in Mississippi →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence L2069591 (MI)

Other General Practice providers in Mississippi →

Registry record

NPI: 1093095523
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2011
Record last updated: 17 Nov 2023

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.