person
Leita N Stark, FNP-BC
Family Nurse Practitioner in Mantachie, Mississippi
NPI 1760719447

Leita N Stark is a Family Nurse Practitioner based in Mantachie, MS and is specialized in Family. Leita N Stark practices in Mantachie, MS and has the professional credentials of FNP-BC. The NPI Number for Leita N Stark is 1760719447 and holds a License No. R862379 (Mississippi).

The current practice location address for Leita N Stark is 5500 Highway 363, Mantachie, MS and can be reached out via phone at 662-282-4226.

Location: 5500 Highway 363, Mantachie, MS, 38855-8383
person
Provider Profile Details
NPI Number
1760719447
Provider Name
Leita N Stark
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5500 Highway 363, Mantachie, MS, 38855-8383
Phone Number
662-282-4226
Fax Number
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5500 Highway 363
City
State
Zip
38855-7197
Phone Number
662-282-4226
Fax Number
person
Provider Business Mailing Address Details
Address
5500 Highway 363
City
State
Zip
38855-7197
Phone Number
662-282-4226
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R862379 (Mississippi)
Definition
Definition to come...
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