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

Mrs. Lauren Nichole Vanderburg

Individual provider Nurse Practitioner · NPI 1669907424

Mrs. Lauren Nichole Vanderburg is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2017, 9 years ago. Practices with Family Medical Clinic of North MS Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017

Practice location Address checks out

3451 Goodman Rd E Ste 115
Southaven, MS 38672-9304
Phone: (662) 890-5555
Fax: (662) 890-8899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN0000022895 (TN)

Record details

NPI number1669907424
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Medical Clinic Of North Ms Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven