LESA FERRELL WATERS


Address: 109 North Front St., Sandersville, MS 39477-0001
Phone: 6014267603

LESA FERRELL WATERS (NPI# 1316984230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316984230
Entity Type Individual
Full Name LESA FERRELL WATERS
Credential FNP
Practice Address 109 North Front St.
Sandersville
MS 39477-0001
Mailing Address Po Box 1649
Laurel
MS 39441-1649
Practice Telephone 6014267603
Practice Fax Number 6014261087
Mailing Telephone 6013996158
Mailing Fax Number 6013996281
Enumeration Date 2006-05-31
Last Update Date 2012-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
R781266 MS Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BOARD OF NURSING LICENSE R781266 01

Office Location

Street Address 109 NORTH FRONT ST.
City SANDERSVILLE
State MS
Zip Code 39477-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972888659 South Central Clinics, Inc Family Medicine 109 N. Front St, Sandersville, MS 39477 2011-10-13
1578744900 Family Health Center, Inc Community Health Worker 203 Broad Street, Sandersville, MS 39477-0279 2007-11-14

Providers in the same city

NPI Name Taxonomy Address Enumeration
1770107039 Latanya Watts Counselor 418 S Hospital Rd, Sandersville, GA 31082-7725 2020-06-02
1164066809 Tracy Roach Technician 327 Harmony Church Rd, Sandersville, GA 31082-9010 2019-11-06
1407311939 Hospital Authority of Washington County Family Medicine 501 Sparta Rd Ste D, Sandersville, GA 31082-1315 2019-02-08
1033613724 Keith B Thompson Driver 417 W Haynes St, Sandersville, GA 31082 2018-03-19
1922451079 Thomas A Curry Pharmacist 514 Washington Avenue, Sandersville, GA 31082 2016-07-13
1770952574 Cynthia J. Roche Physical Therapist 618 Ferncrest Drive, Sandersville, GA 31082 2015-09-22
1376948109 Solomon Agyeman Physical Therapist 610 Sparta Wood, Sandersville, GA 31082 2014-10-22
1295160976 Robert Hugh Sasser Jr. Dentist 423 Industrial Dr, Sandersville, GA 31082-7015 2013-09-12
1669814596 Branden Hicks Investments, Inc. Durable Medical Equipment & Medical Supplies 618 S Harris St, Sandersville, GA 31082-2821 2013-07-19
1972888659 South Central Clinics, Inc Family Medicine 109 N. Front St, Sandersville, MS 39477 2011-10-13
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740616721 Stacey Hodges Williford Registered Nurse 205 Medical Arts Dr, Sandersville, GA 31082-1987 2013-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376008672 Pamela N Fields Registered Nurse 43 Cambridge Cir, Picayune, MS 39466-9278 2019-01-31
1235586363 Quality Med Screens, LLC Registered Nurse 875 Northpark Dr, Bldg 2 Suite 100, Ridgeland, MS 39157-5238 2016-05-18
1538411129 Peace Wellness Center LLC Registered Nurse 502 Mulberry St, Vaiden, MS 39176-9648 2012-10-08
1609177492 Megan Tamelia Ladner Registered Nurse 11440 Bayou Pl, Ocean Springs, MS 39564-7952 2010-11-09
1386720241 Betty Diane Edrington Registered Nurse 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 2006-10-31
1528004249 Monica M, Jones Registered Nurse 930 Main St, Greenville, MS 38701-4111 2006-06-21
1710529888 Brittany Alaina Crowell Miller Registered Nurse 4250 Bethel Rd, Olive Branch, MS 38654-8737 2019-10-10
1760949390 Ladaryl Lorraine Watkins Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2019-03-01
1568972586 Nicholas P Robertson Registered Nurse 301 Fisher St, Keesler Afb, MS 39534-2508 2017-10-04
1407379084 Edward Eray Howell Registered Nurse 859 Winter St, Lucedale, MS 39452-6603 2017-07-25
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Competitor

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City SANDERSVILLE
Zip Code 39477

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Dataset Information

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.

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