Healthcare Provider Details

I. General information

NPI: 1124392469
Provider Name (Legal Business Name): LAURA FINCH THORNTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LAURA BRITTANY FINCH

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 E FORTIFICATION ST
JACKSON MS
39202-2442
US

IV. Provider business mailing address

1325 E FORTIFICATION ST
JACKSON MS
39202-2442
US

V. Phone/Fax

Practice location:
  • Phone: 601-354-4488
  • Fax: 601-351-5980
Mailing address:
  • Phone: 601-354-4488
  • Fax: 601-351-5980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR877131
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: