LAUREN BOTELER ELLIOTT N.P. NPI 1184086282

NPI Information

NPI: 1184086282
Provider Name: LAUREN BOTELER ELLIOTT, N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2500 N STATE ST
CHILD DEVELOPMENT CENTER
JACKSON, MS
ZIP 39216
Phone: (601) 984-2955
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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
1	363LP0200X	Nurse Practitioner	Pediatrics	901482	MISSISSIPPI	Yes

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
1	488785YJ5D	MEDICARE PIN	MISSISSIPPI
2	03754078	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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