Individual
MRS. LAURA LYNN KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
1963 W MCDOWELL RD, JACKSON, MS 39204-4217
(601) 372-3632
(601) 372-7361
Mailing address
1800 CLEARY RD, FLORENCE, MS 39073-8137
(601) 624-5432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863885
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03355409
—
MS
Enumeration date
02/04/2013
Last updated
03/17/2018
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