LESLIE ELLEN MCCOLLUM

TUPELO, 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 Date2025-05-19
Business Address
Ms. LESLIE ELLEN MCCOLLUM FNP-BC
4751 BUTLER RD
TUPELO, MS 38801-8494
Phone number: 662-769-2181
Mailing Address
Ms. LESLIE ELLEN MCCOLLUM FNP-BC
4751 BUTLER RD
TUPELO, MS 38801-8494
Phone number: 662-769-2181