Elliott, Lauren Boteler

Elliott, Lauren Boteler is an individual health care provider with primary practice located at 2500 N State St Child Development Center, Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Elliott, Lauren Boteler can be contacted via phone (601) 984-2955.

Contact Information

Primary practice address
2500 N State St Child Development Center Jackson MS 39216-4500
Phone: (601) 984-2955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 901482 Mississippi

Profile Details

NPI number 1184086282
LBN Legal business name Elliott, Lauren Boteler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Jun 23rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184086282 NPPES
Mississippi MEDICAID 03754078

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