LEIGH VAN DEVENDER


Address: 504 Azalea Dr Ste A, Oxford, MS 38655-5397
Phone: 6626364333

LEIGH VAN DEVENDER (NPI# 1376198192) 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) 1376198192
Entity Type Individual
Full Name LEIGH VAN DEVENDER
Credential APRN
Practice Address 504 Azalea Dr Ste A
Oxford
MS 38655-5397
Mailing Address 965 Ridge Lake Blvd Ste 103
Memphis
TN 38120-9446
Practice Telephone 6626364333
Enumeration Date 2019-08-08
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
903427 MS Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
903427 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2124 14th St, Meridian, MS 393014040 6015536000

Office Location

Street Address 504 AZALEA DR STE A
City OXFORD
State MS
Zip Code 38655-5397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760415608 Benton M Wheeler Internal Medicine 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2006-07-07
1164057865 Kimberly Dawn Swanner Registered Nurse 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2020-03-03
1417275652 John C. Allen Emergency Medicine 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2010-05-12
1821209784 Kirk Cooper Eddleman Internal Medicine 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2007-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1760044465 Lindsay Low Beauchamp Speech-Language Pathologist 169 Ms-6 #102, Oxford, MS 38655 2019-07-02
1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114399284 Kristie G Jenkins Nurse Practitioner 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 2015-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1316500887 Hollie Waldron Nurse Practitioner 408 Council Cir Ste C, Tupelo, MS 38801-4949 2019-04-19
1063975621 Sheila Ann Frederick Nurse Practitioner 65 Patton Cemetary Rd, Fulton, MS 38843-9353 2019-04-10
1992263685 Nadine Theresa James Nurse Practitioner 1214 Velma St, Hattiesburg, MS 39402-2751 2019-03-12
1396202396 Roxane Theresa Moncure Nurse Practitioner 919 Rutherford Dr, Jackson, MS 39206-2033 2019-02-26
1750889416 Katherine Bolden Nurse Practitioner 1666 Highway 19 S, Meridian, MS 39301-8209 2018-01-29
1306350129 Tamika M Broome Nurse Practitioner 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 2017-12-01
1992227177 Charisma T. Cummings Nurse Practitioner 102 Riverview Drive, Suite A, Flowood, MS 39232 2017-07-10
1134589930 Rebecca L. Cauthen Nurse Practitioner 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 2016-03-07
1699099911 Michael Don King Nurse Practitioner 188 W Oxford St, Pontotoc, MS 38863-2006 2010-03-15
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Competitor

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City OXFORD
Zip Code 38655

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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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