Provider Demographics
NPI:1164813317
Name:KIRBY, LAUREN E (FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:KIRBY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:MEDFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:310 N BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7336
Mailing Address - Country:US
Mailing Address - Phone:903-957-0190
Mailing Address - Fax:903-957-0188
Practice Address - Street 1:310 N BRYANT AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7336
Practice Address - Country:US
Practice Address - Phone:903-957-0190
Practice Address - Fax:903-957-0188
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner