Individual
MRS. NICKI E LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901610
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08482749
—
MS
05
—
192717
—
AL
Enumeration date
07/21/2016
Last updated
04/07/2026
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