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Contact Information

LAURA L BURRIS, PA-C
970 LAKELAND DR STE 61
JACKSON, MS39216-4634
 Phone: 601-982-7850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAURA L BURRIS · (Female)

NPI Number 1144789801
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/12/2019
Last updated 01/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # PA00416
Hospital affiliation(s)
  • RIVER REGION HEALTH SYSTEM - (Acute Care)
    2100 HWY 61 N
    VICKSBURG, MS 39183
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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