Fig Leaf, LLC

NPI #1013426329 in Caledonia, Mississippi

Provider Information

NPI Number
1013426329
Entity Type
Organization
Organization Name
Fig Leaf, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 29, 2017
Last Updated
May 22, 2018

Practice Location

Address
171 SOUTH ST
ZIP Code
39740
Phone
(662) 251-7389

Authorized Official

Name
AMANDA FONDREN, FNP-C
Title
NURSE PRACTITIONER/OWNER
Phone
(662) 855-0080

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Community HealthCommunity Health
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Primary CarePrimary Care
Nurse Practitioner

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