Johnson, Leslie A

Johnson, Leslie A is an individual health care provider with primary practice located at 19636 N 27Th Ave Ste 401, Phoenix AZ 85027-4013. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Leslie A can be contacted via phone (602) 298-8888.

Contact Information

Primary practice address
19636 N 27Th Ave Ste 401 Phoenix AZ 85027-4013
Phone: (602) 298-8888
Fax: (602) 978-4129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN091028 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 1352 Arizona

Profile Details

NPI number 1740255181
LBN Legal business name Johnson, Leslie A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 25th, 2015 - about 9 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 1740255181 NPPES
Arizona MEDICAID 796617
Arizona Other 3Z3967

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