Individual
MRS. LEILA LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5180
Mailing address
433 SPRING HILL PT, BRANDON, MS 39047-6360
(601) 260-4116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0614860
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639008
—
MS
Enumeration date
08/15/2014
Last updated
12/03/2014
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