Individual
LAUSHA MARIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
88 BRADY AVE, PORT GIBSON, MS 39150-2806
(601) 618-4115
Mailing address
88 BRADY AVE, PORT GIBSON, MS 39150-2806
(601) 618-4115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
900891
MS
363LF0000X
Family Nurse Practitioner
Primary
906396
MS
Other
Enumeration date
08/10/2022
Last updated
03/25/2024
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