Individual provider · Type 1 NPI

Lauren Nichole Vanderburg

Nurse Practitioner · Southaven, MS

NPI number 1669907424 Active

Practice location

3451 Goodman Rd E Ste 115
Southaven, MS 38672-9304

Call (662) 890-5555 Map

Fax (662) 890-8899

Mailing address

3451 Goodman E Rd 115
Southaven, MS 38672-9304

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN0000022895 (TN)

Nurse Practitioner: (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 wit…

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About NPI 1669907424

Lauren Nichole Vanderburg's National Provider Identifier is 1669907424, issued on Apr 28, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southaven, MS. The record was last updated on Feb 21, 2020.