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Contact Information

FIG LEAF, LLC
171 SOUTH ST
CALEDONIA, MS39740
 Phone: 662-251-7389
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FIG LEAF, LLC

NPI Number 1013426329
LBN Legal business name FIG LEAF, LLC
Authorized official AMANDA FONDREN - (NURSE PRACTITIONER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2017
Last updated 05/22/2018 - About 8 years ago
Identifiers
MS License # R858548
Other 1851792626 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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