Provider Demographics
NPI:1811652753
Name:NEWSON, LINEKA ARIEL
Entity type:Individual
Prefix:
First Name:LINEKA
Middle Name:ARIEL
Last Name:NEWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 JANET LN
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7418
Mailing Address - Country:US
Mailing Address - Phone:601-757-8797
Mailing Address - Fax:
Practice Address - Street 1:326 JANET LN
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7418
Practice Address - Country:US
Practice Address - Phone:601-757-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program