Lea, Rosanna

Lea, Rosanna is an individual health care provider with primary practice located at 1640 Lelia Dr Ste 120 , Jackson MS 39216-4873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lea, Rosanna can be contacted via phone (601) 914-4492.

Contact Information

Primary practice address
1640 Lelia Dr Ste 120 Jackson MS 39216-4873
Phone: (601) 914-4492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R873633 Mississippi

Profile Details

NPI number 1861876310
LBN Legal business name Lea, Rosanna
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Jun 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861876310 NPPES
Mississippi MEDICAID 04474786

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