Provider Demographics
NPI:1669584082
Name:WOLFE, LEIGH ANN (CFNP)
Entity type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:ANN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:HUDNALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:46 SGT PRENTISS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4792
Mailing Address - Country:US
Mailing Address - Phone:601-442-3701
Mailing Address - Fax:601-442-4785
Practice Address - Street 1:46 SGT PRENTISS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4792
Practice Address - Country:US
Practice Address - Phone:601-442-3701
Practice Address - Fax:601-442-4785
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR855569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily