Individual
MONIQUE MCLAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1190 N STATE ST STE 204, JACKSON, MS 39202-2413
(601) 973-1624
Mailing address
1190 N STATE ST STE 204, JACKSON, MS 39202-2413
(601) 973-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903130
MS
Other
Enumeration date
01/24/2019
Last updated
04/30/2019
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