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Contact Information

NORTH LAUREL FAMILY MEDICINE, LLC
3115 AUDUBON DR
LAUREL, MS39440
 Phone: 601-531-2200
 Fax: 601-531-2220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NORTH LAUREL FAMILY MEDICINE LLC · (Female)

NPI Number 1265921985
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2018
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 08886271
Hospital affiliation(s) Not Available
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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