Individual
LAURIE ELIZABETH BUSKIRK YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
806 GARFIELD ST, TUPELO, MS 38801-5749
(662) 377-5395
(662) 377-5390
Mailing address
806 GARFIELD ST, TUPELO, MS 38801-5749
(662) 377-5395
(662) 377-5390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858077
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02374
MEDICARE GROUP
MS
Enumeration date
03/18/2008
Last updated
01/01/2019
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