Justice, Leslie R

Justice, Leslie R is an individual health care provider with primary practice located at 1278 North Lafayette Drive , Sumter SC 29150-2964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Justice, Leslie R can be contacted via phone (803) 774-4500.

Contact Information

Primary practice address
1278 North Lafayette Drive Sumter SC 29150-2964
Phone: (803) 774-4500
Fax: (803) 774-4650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2210 South Carolina

Profile Details

NPI number 1033211321
LBN Legal business name Justice, Leslie R
Credentials DNP, PMHCNS-BC, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Oct 17th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033211321 NPPES
South Carolina MEDICAID NP1471

Popular Providers