NPI 1003111543

Leslie Estes Shavers, FNP

Practitioner Family Nurse Practitioner Pascagoula, MS

Practice location

Address: 2210 Denny Ave, Pascagoula, MS 39567-3416
Phone: (228) 372-6043
Mailing address: 12508 Highland Dr, Gulfport, MS 39503-7621

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence R872675 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1003111543
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2011
Record last updated: 27 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.