Individual
MRS. LAURA ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6858 SWINNEA RD, SOUTHAVEN, MS 38671-9493
(662) 349-9802
(662) 349-9810
Mailing address
2185 POPE WATER VALLEY RD, POPE, MS 38658-2519
(662) 609-1006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R878663
MS
363LF0000X
Family Nurse Practitioner
R878663
MS
Other
Enumeration date
08/30/2012
Last updated
12/13/2021
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