Individual
LESLIE ANNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
990 S MADISON ST, TUPELO, MS 38801-6308
(662) 377-1558
Mailing address
640 COUNTY ROAD 1303, GUNTOWN, MS 38849-4651
(662) 322-3160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
906350
MS
363LF0000X
Family Nurse Practitioner
Primary
908096
MS
Other
Enumeration date
01/12/2026
Last updated
03/10/2026
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