Individual
MRS. LESLIE ANNE PARTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8000
(601) 984-1150
Mailing address
2500 N STATE ST, UMMC-DEPARTMENT OF DERMATOLOGY, JACKSON, MS 39216-4500
(601) 815-3374
(601) 815-6613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R877237
MS
363LF0000X
Family Nurse Practitioner
Primary
R877237
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06854021
—
MS
Enumeration date
06/15/2011
Last updated
10/06/2017
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