Provider Demographics
NPI:1720554397
Name:FLIPPIN, LAURA HILL (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:HILL
Last Name:FLIPPIN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-4063
Mailing Address - Country:US
Mailing Address - Phone:662-520-4000
Mailing Address - Fax:662-913-2621
Practice Address - Street 1:1201 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4063
Practice Address - Country:US
Practice Address - Phone:662-520-4000
Practice Address - Fax:662-913-2621
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily