Healthcare Provider Details

I. General information

NPI: 1467716837
Provider Name (Legal Business Name): LAURA M ARNOLD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA MICHELLE ARNOLD MD

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216-4500
US

IV. Provider business mailing address

504 CLINTON BLVD STE 4300
CLINTON MS
39056-5314
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-5200
  • Fax: 601-984-2086
Mailing address:
  • Phone: 601-815-2005
  • Fax: 601-815-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number23965
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT-2585
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: