Individual provider · Type 1 NPI
Lesa Colleen Whitehead, NP-C
Family Nurse Practitioner · Gloster, MS
NPI number
1750653382
Active
Practice location
434 N Captain Gloster Dr
Gloster, MS 39638-3401
Fax (601) 225-7861
Mailing address
PO Box 639
Centreville, MS 39631-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R853722 (MS) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
Other family nurse practitioner providers in Gloster
About NPI 1750653382
Lesa Colleen Whitehead, NP-C's National Provider Identifier is 1750653382, issued on Jan 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gloster, MS. The record was last updated on Jan 27, 2012.