| Laurie Cabral, CFNP | |
|
1222 S Main St, Poplarville, MS 39470-3318 | |
| (601) 795-9320 | |
| (601) 795-9876 |
| Full Name | Laurie Cabral |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1222 S Main St, Poplarville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477560878 | NPI | - | NPPES |
| 500027732 | Other | RAILROAD MEDICARE | |
| 00123695 | Medicaid | MS | |
| 640507572RV | Other | MS | AMERICAN ADMIN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R716413 (Mississippi) | Primary |
| Entity Name | Coastal Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
| Entity Name | Back & Neck Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427172303 PECOS PAC ID: 7214032739 Enrollment ID: O20070411000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Cabral, CFNP 1434 Central Ave E, Wiggins, MS 39577-9602 Ph: (601) 928-6600 | Laurie Cabral, CFNP 1222 S Main St, Poplarville, MS 39470-3318 Ph: (601) 795-9320 |
Mr. Martin Wayne Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Joe Reyer Rd, Poplarville, MS 39470 Phone: 601-215-6374 | |
Kimberly Philyaw, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Et Poole Rd, Poplarville, MS 39470 Phone: 601-337-0775 | |
Sheila Diane Bullock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Moody St, Poplarville, MS 39470 Phone: 601-795-4543 | |
Grace P Ford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Highway 11 S, Poplarville, MS 39470 Phone: 601-403-8283 Fax: 601-403-8283 | |
Mary Edith Denius, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6230 Highway 53, Poplarville, MS 39470 Phone: 601-408-0916 | |
Mrs. Christina L Meador, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 |