Individual
LESLIE M LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
155 KEATING RD, BATESVILLE, MS 38606-2901
(662) 561-4002
(662) 561-4050
Mailing address
155 KEATING RD, BATESVILLE, MS 38606-2901
(662) 561-4002
(662) 561-4050
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R866883
MS
Other
Enumeration date
11/07/2008
Last updated
05/13/2013
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