Individual
MRS. LEIGH P DRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
394 COURTHOUSE RD STE A, GULFPORT, MS 39507-1866
(228) 896-4417
(228) 604-0121
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
784087
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126282
—
MS
Enumeration date
01/03/2007
Last updated
10/28/2020
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