Individual
MRS. OLIVIA LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1976 EASTRIDGE CIR, MADISON, MS 39110-2201
(601) 835-7536
Mailing address
1976 EASTRIDGE CIR, MADISON, MS 39110-2201
(601) 835-7536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
905174
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905174
MS
Other
Enumeration date
04/04/2022
Last updated
10/15/2025
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