Lashun Rutherford, Katese Black
Lashun Rutherford, Katese Black is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Vlg , Tupelo MS 38801-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lashun Rutherford, Katese Black can be contacted via phone (662) 432-0700.Contact Information
Primary practice address
499 Gloster Creek Vlg
Tupelo MS 38801-4600
Phone: (662) 432-0700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R883096 | Mississippi |
Profile Details
| NPI number | 1598132771 |
|---|---|
| LBN Legal business name | Lashun Rutherford, Katese Black |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2015 |
| Last updated | Aug 12th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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