LESA FERRELL WATERS FNP NPI 1316984230

NPI Information

NPI: 1316984230
Provider Name: LESA FERRELL WATERS, FNP
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Organization: MISSISSIPPI BAND OF CHOCTAW INDIANS

PECOS Registration: Yes

Address:
109 NORTH FRONT ST.
SANDERSVILLE, MS
ZIP 39477
Phone: (601) 426-7603
Get Directions

Lesa Ferrell Waters, FNP is a general practice registered nurse in Sandersville, MS with 19 years of experience. Lesa Ferrell Waters, FNP NPI is 1316984230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

109 NORTH FRONT ST.
SANDERSVILLE, MS
ZIP 39477-001
Phone: (601) 426-7603
Fax: (601) 426-1087

The NPI 1316984230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	R781266	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R781266	OTHER	MICHIGAN	BOARD OF NURSING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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