NPI 1003392416

Montoyae C Leavy, NP

Practitioner Nurse Practitioner Brookhaven, MS

Practice location

Address: 747 Industrial Park Rd NE, Brookhaven, MS 39601-2065
Phone: (601) 833-4111
Mailing address: 122a Richmond Trl NE, Brookhaven, MS 39601-4077

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 902224 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1003392416
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2018
Record last updated: 18 Jul 2018

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.