| Laura Rennie Gibson, CNM | |
| 
					350 W Woodrow Wilson Ave, Jackson, MS 39213-7681  | |
| (601) 540-0968 | |
| Not Available | 
| Full Name | Laura Rennie Gibson | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 350 W Woodrow Wilson Ave, Jackson, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326802786 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 899587 (Mississippi) | Primary | 
| Entity Name | Central Mississippi Civic Improvement Association, Inc | 
|---|---|
| Entity Type | Part B Supplier - Pharmacy | 
| Entity Identifiers | NPI Number: 1548342611 PECOS PAC ID: 4183533235 Enrollment ID: O20240307002325  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Laura Rennie Gibson, CNM 104 Harvest Dr, Ridgeland, MS 39157-4012 Ph: (601) 540-0968  | Laura Rennie Gibson, CNM 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 Ph: (601) 540-0968  | 
Miss Gwen Bussa, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5160  | |
Mary K Fouquier, PHD, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1207 N West St, Jackson, MS 39202 Phone: 601-354-6654 Fax: 601-354-6289  | |
Ms. Meggan Everett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 405 Briarwood Dr Ste 303, Jackson, MS 39206 Phone: 769-233-8163  | |
Dr. Janice Taleff Scaggs, CNM, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 N State St # L216, Jackson, MS 39216 Phone: 601-984-5300  | |
Ms. Avis Elaine Haynes, PHD RN CNM FPNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 North State Street, Winfred Wiser Womens Hospital, Jackson, MS 39216 Phone: 601-815-7300 Fax: 601-815-7355  | |
Miss Clarice Carroll, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5373 Fax: 601-984-5476  |