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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

NPI # 1265921985
LBN Legal business name NORTH LAUREL FAMILY MEDICINE, LLC
Authorized official HOPE JACKSON - (BILLING/CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2018
Last updated 01/16/2025 - More than a year ago
Identifiers
MS Medicaid 08886271
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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