Individual
LESLIE R VILLARRUBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CFNP
Contact information
Practice address
410 COUNCIL CIR, TUPELO, MS 38801-4938
(662) 377-2500
(662) 377-2069
Mailing address
PO BOX 4087, TUPELO, MS 38803-4087
(662) 844-8414
(662) 844-8275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857919
MS
Other
Enumeration date
05/08/2007
Last updated
11/05/2024
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