Healthcare Provider Details

I. General information

NPI: 1811490832
Provider Name (Legal Business Name): LAUREN HOUSTON TURNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216
US

IV. Provider business mailing address

1421 N STATE ST STE 203
JACKSON MS
39202-1658
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-4540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number902532
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: