IndividualActive
Erin Lazenby, CPNP
NPI 1730593989 · Pediatric Nurse Practitioner · Petal, MS
Provider details
- NPI number
- 1730593989
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN100625AP07799 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
36 Panther Stadium Dr
Petal, MS 39465-3632
Phone: (601) 450-2144
Fax: (601) 450-2145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1729
Hattiesburg, MS 39403-1729
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.