Barstow, Leslie A

Barstow, Leslie A is an individual health care provider with primary practice located at 400 Colonnade Dr Ste 230 , Ponte Vedra Beach FL 32081-6237. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Barstow, Leslie A can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
400 Colonnade Dr Ste 230 Ponte Vedra Beach FL 32081-6237
Phone: (904) 376-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9354746 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9354746 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9354746 Florida

Profile Details

NPI number 1578093142
LBN Legal business name Barstow, Leslie A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Aug 5th, 2022 - about 2 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 1578093142 NPPES
Florida MEDICAID 021373700

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