Individual
MRS. FELESHA DALE PERRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 MIMOSA ST, BOONEVILLE, MS 38829-2911
(662) 720-4919
(662) 720-4980
Mailing address
PO BOX 60, BOONEVILLE, MS 38829-0060
(662) 720-4919
(662) 720-4980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R763457
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125681
—
MS
Enumeration date
08/16/2005
Last updated
11/01/2007
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