Individual provider · Type 1 NPI

Leigh Van Devender, APRN

Gerontology Nurse Practitioner · Oxford, MS

NPI number 1376198192 Active

Practice location

504 Azalea Dr Ste A
Oxford, MS 38655-5397

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice locations

  • 2124 14th St, Meridian, MS 39301-4040 · (601) 553-6000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X903427 (MS)
Gerontology Nurse Practitioner Primary 363LG0600X903427 (MS)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1376198192

Leigh Van Devender, APRN's National Provider Identifier is 1376198192, issued on Aug 8, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oxford, MS. The record was last updated on Jun 22, 2021.