Miss Montoyae C Leavy
Nurse Practitioner
747 Industrial Park Rd Ne
Brookhaven
, Mississippi 39601-2065
Miss Montoyae C Leavy
Nurse Practitioner
747 Industrial Park Rd Ne
Brookhaven
, Mississippi 39601-2065
(601) 400-1375
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Miss Montoyae C Leavy
- 122a Richmond Trl Ne
- Brookhaven, MS
- Zip : 39601-4077
- Phone : (601) 400-1375
Second Address
- Miss Montoyae C Leavy
- 747 Industrial Park Rd Ne
- Brookhaven, MS
- Zip : 39601-2065
- Phone : (601) 833-4111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 902224 | MS |
National Provider Identifier
| NPI | 1003392416 |
|---|---|
| Provider Name | Miss Montoyae C Leavy |
| First Address | Brookhaven, MS 39601-4077 |
| Second Address | Brookhaven, MS 39601-2065 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2018 |
| Last Update Date | 18/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.