Individual
LEIGH ALLYSON BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
225 ASHTON WAY, BRANDON, MS 39047-4509
(601) 416-7921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
902448
MS
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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