Scott Brooks, Laura-Jean

Scott Brooks, Laura-Jean is an individual health care provider with primary practice located at 421 Marion Ave , Mccomb MS 39648-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Scott Brooks, Laura-Jean can be contacted via phone (601) 684-6891.

Contact Information

Primary practice address
421 Marion Ave Mccomb MS 39648-2709
Fax: (601) 249-3834
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901532 Mississippi

Profile Details

NPI number 1316491012
LBN Legal business name Scott Brooks, Laura-Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Apr 2nd, 2024 - about 7 months 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 1316491012 NPPES
Mississippi MEDICAID 05281873

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