Individual
LAUREN ELISE AGOSTINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2000 N STATE ST, CLARKSDALE, MS 38614-6100
(662) 627-7361
Mailing address
205 BARRY STREET, LYON, MS 38645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
921647
MS
363LW0102X
Women's Health Nurse Practitioner
Primary
908036
MS
Other
Enumeration date
11/30/2023
Last updated
04/08/2026
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