Lacroix, Jennifer Elaine
Lacroix, Jennifer Elaine is an individual health care provider with primary practice located at 7148 Hwy 98 West Suite 203, Hattiesburg MS 39402. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lacroix, Jennifer Elaine can be contacted via phone (601) 268-5630.Contact Information
Primary practice address
7148 Hwy 98 West Suite 203
Hattiesburg MS 39402
Phone: (601) 268-5630
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 902195 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 902195 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 902195 | Mississippi |
Profile Details
NPI number | 1255869665 |
---|---|
LBN Legal business name | Lacroix, Jennifer Elaine |
Credentials | FNP, RNFA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2017 |
Last updated | Nov 1st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255869665 | NPPES |
Mississippi | MEDICAID | 08339702 |
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