STACY LEIST

Registered Nurse

Active Individual
NPI: 1689005852

Practice Address

3444 WISCONSIN AVE
Vicksburg, MS 39180

Phone: (601) 638-0031

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes R894641 (MS)

Frequently Asked Questions

NPI 1689005852 is the National Provider Identifier for STACY LEIST, a Registered Nurse provider located in Vicksburg, MS. This NPI was enumerated on December 12, 2013.
STACY LEIST practices at 3444 WISCONSIN AVE, Vicksburg, MS 39180.

Quick Facts

NPI
1689005852
Type
Individual
Enumerated
Dec 12, 2013
Last Updated
Dec 12, 2013

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