Individual
LAUREN OLIVIA BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1860 CHADWICK DR STE 300, JACKSON, MS 39204-3470
(601) 376-2857
Mailing address
111 OAK DR, BRANDON, MS 39047-6201
(601) 750-6675
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
904492
MS
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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