Durham, Leslie

Durham, Leslie is an sole proprietor health care provider with primary practice located at 927 E Baddour Pkwy , Lebanon TN 37087-3706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Durham, Leslie can be contacted via phone (615) 444-5325.

Contact Information

Primary practice address
927 E Baddour Pkwy Lebanon TN 37087-3706
Fax: (615) 444-2750
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 6412 Tennessee

Profile Details

NPI number 1578645289
LBN Legal business name Durham, Leslie
Credentials RNC APN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Oct 7th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578645289 NPPES
Tennessee Other 6412 APN LICENSE
Tennessee Other 83092 APN LICENSE

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