Individual
MRS. ALBA LAURA EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1862 LINDSEY LN, SOUTHAVEN, MS 38672-8602
(901) 212-2658
Mailing address
1862 LINDSEY LN, SOUTHAVEN, MS 38672-8602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902539
MS
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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