Individual
LEAH DENISE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
562 LINE ST S, STE 1, PHILADELPHIA, MS 39350-2144
(601) 504-6430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902939
MS
Other
Enumeration date
09/21/2018
Last updated
03/10/2020
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