Lesa Colleen Whitehead, NP-C Valid NPI

Individual provider · Family Nurse Practitioner · Gloster, MS

NPI

1750653382

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R853722 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2012-01-27

Last updated

2012-01-27