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Lauren Nicole Roberts

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

115 Coastal Oak, Hattiesburg, MS 39402-4470

PECOS Enrollment

This provider is enrolled in PECOS as LAUREN ROBERTS.

Based on the most recent information from CMS, provider Lauren Nicole Roberts is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1992394985
Provider Type
Individual
Full Name
Roberts, Lauren Nicole
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/13/2021
Last Updated
1/13/2021

Contact Information

Practice Location

115 Coastal Oak, Hattiesburg, MS 39402-4470

(601) 606-7905

Unlisted Fax

Mailing Location

115 Coastal Oak, Hattiesburg, MS 39402-4470

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 904365 Mississippi

Lauren Nicole Roberts

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Brumfield, Shermanda M

Hollimon, Brian Carl

Leathers, Breanne Nunnally

Mccormick, Shuntay

Mooney, Kelli P.

Hutton Healthcare Services

Cochran, Shelley S

Ezelle, Melissa Ann

Smith, Jennifer R

Woods, Elisha Dowdy