Waters, Lesa Ferrell

Waters, Lesa Ferrell is an individual health care provider with primary practice located at 109 North Front St. , Sandersville MS 39477-0001. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Waters, Lesa Ferrell can be contacted via phone (601) 426-7603.

Contact Information

Primary practice address
109 North Front St. Sandersville MS 39477-0001
Fax: (601) 426-1087
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R781266 Mississippi

Profile Details

NPI number 1316984230
LBN Legal business name Waters, Lesa Ferrell
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 12th, 2012 - about 13 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 1316984230 NPPES
Michigan Other R781266 BOARD OF NURSING LICENSE

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