Individual
MS. LAURA ANNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R866576
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127072
—
MS
Enumeration date
06/26/2006
Last updated
06/27/2012
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