Provider Demographics
NPI:1285631275
Name:LIGON, CYNTHIA S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:S
Last Name:LIGON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-2433
Mailing Address - Country:US
Mailing Address - Phone:662-429-9111
Mailing Address - Fax:662-429-6111
Practice Address - Street 1:900 E COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-2433
Practice Address - Country:US
Practice Address - Phone:662-429-9111
Practice Address - Fax:662-429-6111
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR649287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine