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Individual

LAURA NAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1190 N STATE ST, SUITE 202, JACKSON, MS 39202-2413
(601) 949-9994
(601) 949-2782
Mailing address
129 FOUNTAINS BLVD, MADISON, MS 39110-6344
(769) 300-0730

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863370
MS

Other

Enumeration date
04/29/2010
Last updated
06/18/2014
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