Organization · Type 2 NPI
Baptist Medical Center - Leake, Inc.
Family Nurse Practitioner · Carthage, MS
NPI number
1891138780
Active
Practice location
600 Highway 16 E
Carthage, MS 39051-4212
Fax (601) 267-6434
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1891138780
Baptist Medical Center - Leake, Inc.'s National Provider Identifier is 1891138780, issued on Apr 10, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carthage, MS. The record was last updated on Sep 30, 2020.