Individual
LAURIE E FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-6688
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901651
MS
363LG0600X
Gerontology Nurse Practitioner
R901651
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00529008
—
MS
01
—
542137YKHV
MEDICARE
MS
01
—
P01786049
RAILROAD MEDICARE
MS
Enumeration date
07/11/2016
Last updated
01/14/2025
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