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NPI Code Detail

MEDICARE: LEIGH JARVIS OROZCO FNP

MEDICARE: LEIGH JARVIS OROZCO FNP
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
1363LF0000XFamily Nurse PractitionerR697435MS

General Provider Information

NPI Number : 1558315408
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH JARVIS OROZCO FNP
Provider Business Mailing Address
First Line : 366 CHESTERVILLE RD
Second Line :
City : TUPELO
State : MS
Zip : 38801-8918
Country : US
Telephone Number : 662-844-6446
Fax Number :
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-5891
Fax Number : 662-224-6801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 07/08/2007

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Directions to “ LEIGH JARVIS OROZCO FNP” Practice Location

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