NPI 1013064245

Leigh P Drace, CFNP

Practitioner Nurse Practitioner Gulfport, MS

Practice location

Address: 394 Courthouse Rd STE a, Gulfport, MS 39507-1866
Phone: (228) 896-4417
Fax: (228) 604-0121
Mailing address: PO Box 1810, Gulfport, MS 39502-1810

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 784087 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1013064245
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2007
Record last updated: 28 Oct 2020

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.