LAUREN BOTELER ELLIOTT N.P. NPI 1184086282

NPI Information

  • NPI: 1184086282
  • Provider Name: LAUREN BOTELER ELLIOTT, N.P.
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 2500 N STATE ST
    CHILD DEVELOPMENT CENTER
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-2955

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NPI Details

Lauren Boteler Elliott, N.P. is a pediatrics nurse practitioner in Jackson, MS. Lauren Boteler Elliott, N.P. NPI is 1184086282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N STATE ST
CHILD DEVELOPMENT CENTER
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-2955

The enumeration date for this NPI number is 3/28/2016 and was last updated on 6/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics901482MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1488785YJ5DMEDICARE PINMISSISSIPPI
203754078MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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