| Leslie Rollins, FNP | |
| 
					4881 Highway 589, Sumrall, MS 39482-4453  | |
| (601) 336-9099 | |
| (601) 550-6184 | 
| Full Name | Leslie Rollins | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4881 Highway 589, Sumrall, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417466079 | NPI | - | NPPES | 
| 07228379 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902089 (Mississippi) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 902089 (Mississippi) | Primary | 
| Entity Name | Hattiesburg Clinic Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leslie Rollins, FNP P.o Box Hwy 589 Sumrall, Sumrall, MS 39482 Ph: (013) 366-9099  | Leslie Rollins, FNP 4881 Highway 589, Sumrall, MS 39482-4453 Ph: (601) 336-9099  | 
Lindsey Boswell, APRN FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Parrish Rd, Sumrall, MS 39482 Phone: 601-410-3262  | |
Sarah M Wainwright, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060  | |
Mrs. Jamie Elaine Thornton, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100  | |
Aimmee Rochelle Chestang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Chastain Ln, Sumrall, MS 39482 Phone: 601-807-0921  | |
Dylan Pittman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100  | |
Lauren M Walters, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060  |