Laurie E Fowler (NPI# 1447421409, PAC ID# 7012089923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447421409 |
| PAC ID by PECOS | 7012089923 |
| Professional Enrollment ID | I20080710000161 |
| Full Name | Laurie E Fowler |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Address |
1201 Gunter Rd Florence MS 39073-9711 |
| Phone Number | 6019396371 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709030133 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250025 | MERIT HEALTH GILMORE MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1215 Earl Frye Blvd, Amory, MS 38821-5509 | 6622569344 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 176 Hwy 9 N, Bruce, MS 38915 | 6624125100 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 49 Willow Creek Ln, Byram, MS 39272-9255 | 6018634201 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1201 Gunter Rd, Florence, MS 39073-9711 | 6019396371 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1500 Broad Ave, Gulfport, MS 39501-3601 | 2288681314 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 16391 Robinson Rd, Gulfport, MS 39503-4816 | 2288328400 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 6012643709 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 2 Courtland Dr, Hattiesburg, MS 39402-8542 | 6012969711 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1600 Raymond Rd, Jackson, MS 39204-4203 | 6013711700 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 323 Industrial Park, Liberty, MS 39645-8069 | 6016571000 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1308 Hwy 51, Madison, MS 39110-7205 | 6018534343 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 925 Mangum Ave, Mendenhall, MS 39114-3026 | 6018471311 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 517 33rd St, Meridian, MS 39305-3944 | 6014833916 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 2797 Cooper Rd, Picayune, MS 39466-2213 | 6017991616 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 868 Mulberry St, Vaiden, MS 39176-5385 | 6624647714 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1122 N Eshman Ave, West Point, MS 39773-5436 | 6624946011 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Aquita Thomas | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 7054 Veterans Pkwy, Pell City, AL 35125-5117 |
| Irene Mutembei | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 3605 Ratliff Rd, Birmingham, AL 35210-4512 |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Janine Gibbs Larry | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 16391 Robinson Rd, Gulfport, MS 39503-4816 |
| Lauren Mcminn | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 101 Villa Dr, Daphne, AL 36526-4653 |
| Dawn Renee Pomaibo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 601 S Church St, Mount Pleasant, PA 15666-1703 |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| Mary Elizabeth Maceachern-crain | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 301 S Perimeter Dr, Suite 123, Nashville, TN 37211-4128 |
| Terri Hipp | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 909 W St, Pittsburgh, PA 15221-2833 |
| Street Address |
1201 GUNTER RD |
| City | FLORENCE |
| State | MS |
| Zip | 39073-9711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert V Coleman | Family Practice | 3091 Hwy 49 S, Suite B, Florence, MS 39073 | |
| Margo W Garrett | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Candice Ashley | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Kelley N Martin | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Roderick A Shields | Family Medicine | 128 Earl Clark Dr, Florence, MS 39073-6604 | |
| Sonya Whatley | Nurse Practitioner | 3091 Hwy 49 S, Suite F, Florence, MS 39073-9446 | |
| Angela M Hoover | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| Derek W Puckett | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| Eleanor H Smith | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| City | FLORENCE |
| Zip Code | 39073 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laurie E Fowler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.