LESLIE ERIN DAVIS (NPI# 1053977249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053977249 |
| Entity Type | Individual |
| Full Name | LESLIE ERIN DAVIS |
| Credential | PA |
| Practice Address |
105 Keystone Cir Vicksburg MS 39183-3201 |
| Mailing Address |
1401 Hazel St Jackson MS 39202-1722 |
| Practice Telephone | 6018318488 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00426 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182303 | Leslie Baylis Davis | Counselor | 70 Nubb Rainey Rd, Hattiesburg, MS 39401-8188 | 2019-12-20 |
| 1255856282 | Leslie Davis | Counselor | 7 Eagle Ctr Ste B1, O Fallon, IL 62269-1946 | 2017-08-10 |
| 1033458039 | Leslie Davis | Speech-Language Pathologist | 12136 Kay Dr, Seminole, FL 33772-2600 | 2013-02-11 |
| 1972778330 | Leslie Anntoinette Davis | Marriage & Family Therapist | 5139 Balboa Blvd, Unit 16, Encino, CA 91316 | 2008-04-28 |
| 1104041755 | Leslie J Davis | Nurse Practitioner | 2205 Oak Ridge Rd Ste Aa-bb, Oak Ridge, NC 27310-8728 | 2007-04-16 |
| 1093888000 | Leslie P Davis | Physical Therapist | 100 Winters St Ste 103, West Point, VA 23181-9534 | 2006-11-16 |
| 1053355214 | Leslie I Davis | Dentist | 13802 W Camino Del Sol, Sun City West, AZ 85375-4486 | 2006-06-16 |
| 1396345690 | Leslie Davis | Pharmacist | 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 | 2020-10-27 |
| 1619437969 | Leslie Davis | Counselor | 1278 Jungermann Rd Ste E, Saint Peters, MO 63376-6964 | 2019-03-22 |
| 1619484946 | Leslie Davis | Counselor | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-01-09 |
| Street Address |
105 KEYSTONE CIR |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594519 | Rcg Mississippi, Inc. | Clinic/Center | 105 Keystone Cir, Vicksburg, MS 39183-3201 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481880 | Casey Elaine Collier | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2020-03-06 |
| 1174087209 | Morgan Joseph Caulfield | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 | 2019-01-23 |
| 1619466919 | Ryne Andrew Graham | Physician Assistant | 188 Ymca Pl, Vicksburg, MS 39183-3536 | 2018-05-02 |
| 1689113250 | Brennan Foster Vaughn | Physician Assistant | 4204 Clay St, Vicksburg, MS 39183-3438 | 2017-02-15 |
| 1154789717 | Carrie Eure | Physician Assistant | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2016-02-10 |
| 1215334800 | Vanessa Perniciaro | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2014-11-25 |
| 1457652620 | Daniel J Silvio | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2010-11-04 |
| 1225361702 | Dallas Michelle Thomason | Physician Assistant | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2009-09-15 |
| 1295766780 | Julia Green Varnier | Physician Assistant | 188 Ymca Pl, Vicksburg, MS 39183-3536 | 2006-07-05 |
| 1174552566 | Larry Daily | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2006-06-30 |
| Find all providers in VICKSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.