Individual
LATOSHA LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1450 COUNTY FARM RD, RAYMOND, MS 39154-9301
(601) 863-0258
(601) 990-4288
Mailing address
PO BOX 720014, BYRAM, MS 39272-0014
(601) 863-0258
(601) 990-4288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
907449
MS
363LG0600X
Gerontology Nurse Practitioner
907449
MS
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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