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MRS. LISA LATHEM NP
NPI 1710210794
Nurse Practitioner - Family in Jackson, MS

Active since September 09, 2009
971 LAKELAND DR, SUITE 557, JACKSON, MS 39216(601) 200-4560(601) 326-4632 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Lathem Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA LATHEM NP (NPI 1710210794) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R672106) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1710210794
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA LATHEMCredential: NP
Location Address971 LAKELAND DR, SUITE 557Jackson, MS 39216-4643
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-4560
Fax(601) 326-4632
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateApril 30, 2015
✔ NPI 1710210794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R672106
971 LAKELAND DR, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 3

OtherP01410915MS · Railroad Medicare
Medicare PIN302I505317MS
Medicaid05721214MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEN W. SEALE, M.D., PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Hinds County (601) 948-5158
EDWIN P SUDDUTH M.D.
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
JACKSON GYNECOLOGIC ONCOLOGY PLLC
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Hinds County (601) 987-3033
D TIMOTHY CANNON M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
JAMIE DOUGLAS MCCOLLUM M.D.
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
DAVID WESTBROOK M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
MS. JACQUELINE M. ROBINSON MS, CCC-A; F/AAA
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Hinds County (601) 981-2825
MRS. KRISTIE CALLAHAN FNP-C
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216
Hinds County (601) 200-4560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Lathem's NPI number?

The NPI number for Lisa Lathem is 1710210794. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Lisa Lathem located?

Lisa Lathem practices at 971 Lakeland Dr Suite 557, Jackson, MS 39216. The listed phone number is (601) 200-4560.

What is Lisa Lathem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Lathem was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.