Individual
MS. LEONETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
106 WINDSOR CV, MADISON, MS 39110-8564
(601) 898-3562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R829724
MS
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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