Lesa Colleen Whitehead, NP-C | |
434 N Captain Gloster Dr, Gloster, MS 39638-3401 | |
(601) 225-4711 | |
(601) 225-7861 |
Full Name | Lesa Colleen Whitehead |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 434 N Captain Gloster Dr, Gloster, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750653382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R853722 (Mississippi) | Primary |
Entity Name | Magee Benevolent Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
Entity Name | South Sunflower County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
Entity Name | Field Memorial Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648376 PECOS PAC ID: 0547248544 Enrollment ID: O20040707001237 |
Entity Name | Kings Daughters Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
Entity Name | Field Memorial Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669818480 PECOS PAC ID: 0547248544 Enrollment ID: O20131014000541 |
Entity Name | App Of Mississippi Ed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
Mailing Address | Practice Location Address |
---|---|
Lesa Colleen Whitehead, NP-C Po Box 639, Centreville, MS 39631-0639 Ph: (601) 645-5221 | Lesa Colleen Whitehead, NP-C 434 N Captain Gloster Dr, Gloster, MS 39638-3401 Ph: (601) 225-4711 |
Kristen Womack, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-4144 | |
Mrs. Simmons T Copeland, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 North Captain Drive, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-7861 | |
Ashley Dillon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-4144 |