Provider Demographics
NPI:1760536783
Name:BABB, LAUREN MCGEE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MCGEE
Last Name:BABB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:BELDEN
Mailing Address - State:MS
Mailing Address - Zip Code:38826-9760
Mailing Address - Country:US
Mailing Address - Phone:662-610-8045
Mailing Address - Fax:
Practice Address - Street 1:2633 TRACELAND DR
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4238
Practice Address - Country:US
Practice Address - Phone:662-205-4652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902927363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner