LEIGH ELLEN GAULT

JACKSON, MS
NPI1477104271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903519)
Enumeration Date2019-09-23
Last Update Date2022-01-31
Business Address
LEIGH ELLEN GAULT NP
4500 I 55 N STE 128
JACKSON, MS 39211-5960
Phone number: 601-374-7411
Mailing Address
LEIGH ELLEN GAULT NP
104 ROSALIE CT
CLINTON, MS 39056-6053
Phone number: 601-946-8888
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