Drace, Leigh P

Drace, Leigh P is an individual health care provider with primary practice located at 394 Courthouse Rd Ste A , Gulfport MS 39507-1866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Drace, Leigh P can be contacted via phone (228) 896-4417.

Contact Information

Primary practice address
394 Courthouse Rd Ste A Gulfport MS 39507-1866
Phone: (228) 896-4417
Fax: (228) 604-0121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 784087 Mississippi

Profile Details

NPI number 1013064245
LBN Legal business name Drace, Leigh P
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013064245 NPPES
Mississippi MEDICAID 00126282

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