Individual
LAUREN CANNON DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5010 SOUTHPORT CROSSING WAY, SOUTHPORT, NC 28461
(910) 721-5065
Mailing address
229 OLDE CASTLE LOOP, OXFORD, MS 38655-6013
(662) 416-2386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5024434
NC
363LF0000X
Family Nurse Practitioner
APN0000018882
TN
363LF0000X
Family Nurse Practitioner
R891374
MS
Other
Enumeration date
10/01/2014
Last updated
06/04/2026
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