LESLIE ELLEN MCCOLLUM

OXFORD, MS
NPI1710115506
Former NameLESLIE PETERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  856240)
Enumeration Date2009-06-30
Last Update Date2025-02-28
Business Address
Ms. LESLIE ELLEN MCCOLLUM FNP-BC
1208 OFFICE PARK DR
OXFORD, MS 38655-3597
Phone number: 662-234-9888
Mailing Address
Ms. LESLIE ELLEN MCCOLLUM FNP-BC
ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
GERMANTOWN, TN 38183-4258
Phone number:
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