Leist, Stacy

Leist, Stacy is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Leist, Stacy can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R894641 Mississippi

Profile Details

NPI number 1689005852
LBN Legal business name Leist, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Dec 12th, 2013 - about 13 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.

Request for update

Popular Providers