Individual
MRS. LEIGH ANN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 W FRONTAGE RD STE C, LUCEDALE, MS 39452-5836
(601) 947-9596
Mailing address
103 W FRONTAGE RD STE C, LUCEDALE, MS 39452-5836
(251) 222-2155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-05607
AL
Other
Enumeration date
05/05/2010
Last updated
06/12/2023
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