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Contact Information

LAURIE E FOSTER, AGPCNP-C
971 LAKELAND DR STE 1250
JACKSON, MS39216-4609
 Phone: 601-200-6688
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURIE E FOSTER · (Female)

NPI Number 1962854323
Status Active
Credentials AGPCNP-C
Entity Individual
Enumeration date 07/11/2016
Last updated 01/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # 901651
  • MS License # R901651
  • MS Medicaid 00529008
  • MS Other 542137YKHV MEDICARE
  • MS Other P01786049 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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