Individual
MRS. LAUREN COLLINS WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
(662) 844-1973
Mailing address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
(662) 844-1973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874724
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06487398
—
MS
01
—
1467735266
NPI
MS
Enumeration date
09/28/2011
Last updated
05/09/2013
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