Individual
MRS. LESLIE ESTES SHAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2210 DENNY AVE, PASCAGOULA, MS 39567-3416
(228) 372-6043
Mailing address
12508 HIGHLAND DR, GULFPORT, MS 39503-7621
(228) 861-7744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872675
MS
Other
Enumeration date
01/13/2011
Last updated
06/27/2011
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