Individual provider · Type 1 NPI
Lauren Boteler Elliott, N.P.
Pediatric Nurse Practitioner · Jackson, MS
NPI number
1184086282
Active
Practice location
2500 N State St, Child Development Center
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 901482 (MS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184086282
Lauren Boteler Elliott, N.P.'s National Provider Identifier is 1184086282, issued on Mar 28, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Jun 23, 2016.