Individual
LESLIE JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4705
(601) 426-4100
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 426-4705
(601) 426-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901443
MS
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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