Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lanise Cooper Lacey, NP

Individual provider Acute Care Nurse Practitioner · NPI 1982833091

Lanise Cooper Lacey, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2009, 17 years ago. Practices with Mdb Behavioral Health Services LLC, a 197-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 925-6805
Fax: (601) 926-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R864303 (MS)

Record details

NPI number1982833091
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESOctober 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mdb Behavioral Health Services Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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