| Dr Fleetwood Loustalot Iii, RN, NP-C, PHD | |
|
2 Lakeview Cv, Hattiesburg, MS 39402-8528 | |
| (601) 264-2657 | |
| Not Available |
| Full Name | Dr Fleetwood Loustalot Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2 Lakeview Cv, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164470928 | NPI | - | NPPES |
| 0126734 | Medicaid | MS | |
| R864143 | Other | MS | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R864143 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fleetwood Loustalot Iii, RN, NP-C, PHD 2 Lakeview Cv, Hattiesburg, MS 39402-8528 Ph: (601) 264-2657 | Dr Fleetwood Loustalot Iii, RN, NP-C, PHD 2 Lakeview Cv, Hattiesburg, MS 39402-8528 Ph: (601) 264-2657 |
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321 | |
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500 | |
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212 | |
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755 | |
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700 |