Individual
MRS. LAUREN HALASE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1860 CHADWICK DR STE 300, JACKSON, MS 39204-3470
(601) 376-2857
Mailing address
421 CUMBERLAND CT, MADISON, MS 39110-7375
(601) 455-4893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
906902
MS
363LF0000X
Family Nurse Practitioner
Primary
904777
MS
Other
Enumeration date
04/21/2021
Last updated
12/07/2022
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