| Lausha Marie White, REGISTER NURSE | |
|
88 Brady Ave, Port Gibson, MS 39150-2806 | |
| (601) 618-4115 | |
| Not Available |
| Full Name | Lausha Marie White |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 88 Brady Ave, Port Gibson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114655883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 900891 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 906396 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Lausha Marie White, REGISTER NURSE 88 Brady Ave, Port Gibson, MS 39150-2806 Ph: (601) 618-4115 | Lausha Marie White, REGISTER NURSE 88 Brady Ave, Port Gibson, MS 39150-2806 Ph: (601) 618-4115 |
Ginetta Felton Anderson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 Market St, Port Gibson, MS 39150 Phone: 601-437-3323 | |
Mrs. Charlene Davis King, DNP, FPMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 Farmer St, Port Gibson, MS 39150 Phone: 601-448-5176 Fax: 601-448-5197 | |
Linda Cockrell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Farmer St, Port Gibson, MS 39150 Phone: 601-437-3037 Fax: 601-437-4315 | |
Marie Evans Allen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Highway 61 N, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3011 | |
Mrs. Saketa Mcentee Polk, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2090 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-8185 Fax: 601-437-4888 | |
Mrs. Shaunda T Freeman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2045 Hwy 61 North, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3051 | |
Mrs. Jennifer Leigh Greer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 Market St, Port Gibson, MS 39150 Phone: 601-437-3323 |