Shelley S Leach, FNP
Nurse Practitioner, Family in Mendenhall, MS. Individual provider (NPI-1).
NPI number1760615595
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1760615595
- Entity type
- Individual (NPI-1)
- Name
- Shelley S Leach
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2009
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R863242 | MS | Yes |
Practice location
820 Mangum AveMendenhall, MS 39114
Phone 601-847-5111 · Fax 601-847-3060
Mailing address
820 Mangum AveMendenhall, MS 39114
Phone 601-847-5111 · Fax 601-847-3060
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