Mrs. Leigh P Drace
Nurse Practitioner
394 Courthouse Rd Ste A
Gulfport
, Mississippi 39507-1866
Mrs. Leigh P Drace
Nurse Practitioner
394 Courthouse Rd Ste A
Gulfport
, Mississippi 39507-1866
(228) 575-2917
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Leigh P Drace
- Po Box 1810
- Gulfport, MS
- Zip : 39502-1810
- Fax : (228) 575-2917
- Phone : (228) 575-1194
Second Address
- Mrs. Leigh P Drace
- 394 Courthouse Rd Ste A
- Gulfport, MS
- Zip : 39507-1866
- Fax : (228) 604-0121
- Phone : (228) 896-4417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 784087 | MS |
National Provider Identifier
| NPI | 1013064245 |
|---|---|
| Provider Name | Mrs. Leigh P Drace |
| First Address | Gulfport, MS 39502-1810 |
| Second Address | Gulfport, MS 39507-1866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 28/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00126282 | (05) | MS |
| P72354 | (02) | MS |
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.