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Contact Information

CRISTINA S LEIS, PA-C
104 BURNEY DR
FLOWOOD, MS39232-6621
 Phone: 601-987-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRISTINA S LEIS · (Female)

NPI Number 1548858749
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/04/2021
Last updated 12/13/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # PA00516
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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