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Individual

MRS. LAURA L PORTER

Active
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Individual

MRS. LAURA L PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
70783
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
APN0000006060
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3902601
TN
01
4020701
BLUE CROSS BLUE SHIELD
TN
01
P33828
RR MEDICARE
TN
Enumeration date
08/12/2005
Last updated
02/12/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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