NPI 1588357404

Lajuanda Davis Portis, MLS

Practitioner Health & Wellness Coach Jackson, MS

Practice location

Address: 4840 McWillie Cir, Jackson, MS 39206-5024
Phone: (601) 954-5847
Mailing address: 4412 Manhattan Rd, Jackson, MS 39206-6134

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Mississippi →

Registry record

NPI: 1588357404
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2023
Record last updated: 26 May 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.