NORTH LAUREL FAMILY MEDICINE, LLC


Address: 3115 Audubon Dr, Laurel, MS 39440
Phone: 6017659777

NORTH LAUREL FAMILY MEDICINE, LLC (NPI# 1265921985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265921985
Entity Type Organization
Organization Name NORTH LAUREL FAMILY MEDICINE, LLC
Practice Address 3115 Audubon Dr
Laurel
MS 39440
Mailing Address 3115 Audubon Dr
Laurel
MS 39440-1913
Practice Telephone 6017659777
Mailing Telephone 6015312200
Mailing Fax Number 6015312220
Enumeration Date 2018-05-08
Last Update Date 2019-04-04
Authorized Official Name MRS. JENNIFER R MOFFETT (CO OWNER AND BUSINESS MANAGER)
Authorized Official Telephone 6017659777
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 08886271 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3115 Audubon Dr, Laurel, MS 39440 6017659777

Office Location

Street Address 3115 AUDUBON DR
City LAUREL
State MS
Zip Code 39440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1144532086 Michael Douglas Collins Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2010-07-08
1033350632 Unlimited Dreams II Hospice Care, Community Based 3115 Audubon Dr, Laurel, MS 39440-1913 2009-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
1043421464 K's Discount Drugs Pharmacist 30 Circle J Drive, Suite #2, Laurel, MS 39440 2007-05-25
Find all providers in zip 39440

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114583184 Patricia E. Asagaya Nurse Practitioner 14302 Stroud Ct, Laurel, MD 20707-9502 2019-05-15
1043686876 Akukeng Mba Nurse Practitioner 13208 Deerfield Rd, Laurel, MD 20708-2005 2015-08-16
1174829733 Kimberly Cabe Nurse Practitioner 601 N 15th Ave, Laurel, MS 39440-3839 2011-01-31
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1427069418 Modupe A. Apassa Nurse Practitioner 13932 Baltimore Ave, Laurel, MD 20707-5000 2006-08-11
1013567445 Jessica Watson Lott Nurse Practitioner 404 S 13th Ave, Laurel, MS 39440-4345 2019-09-17
1376198697 Momoh Makieu Nurse Practitioner 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 2019-08-04
1881253557 Sarah M Wooten Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-06-06
1982195137 Erica Windham Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440 2018-05-23
1730605593 Brittany Poole Jones Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2017-08-14
Find all providers in LAUREL

Competitor

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City LAUREL
Zip Code 39440

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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