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NPI Code Detail

MEDICARE: MS. LESLIE ANN PAINTER

MEDICARE:  MS. LESLIE ANN PAINTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner7403191MS

General Provider Information

NPI Number : 1184324675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE ANN PAINTER
Provider Business Mailing Address
First Line : 1378 SAWMILL RD
Second Line :
City : CRYSTAL SPRINGS
State : MS
Zip : 39059-9643
Country : US
Telephone Number : 601-291-6915
Fax Number :
Provider Business Practice Location Address
First Line : 1378 SAWMILL RD
Second Line :
City : CRYSTAL SPRINGS
State : MS
Zip : 39059-9643
Country : US
Telephone Number : 601-291-6915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 04/10/2023

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Directions to “ MS. LESLIE ANN PAINTER ” Practice Location

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