Individual
MRS. JEANA LEIGH WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2402 5TH ST N, COLUMBUS, MS 39705-2000
(662) 241-6192
(662) 241-9685
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870025
MS
Other
Enumeration date
01/24/2014
Last updated
05/09/2022
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