Leslie, Maryann

Leslie, Maryann is an individual health care provider with primary practice located at 2100 Kingsley Avenue , Orange Park FL 32073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Leslie, Maryann can be contacted via phone (904) 276-0001.

Contact Information

Primary practice address
2100 Kingsley Avenue Orange Park FL 32073
Phone: (904) 276-0001
Fax: (904) 276-5333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3343402 Florida

Profile Details

NPI number 1730102989
LBN Legal business name Leslie, Maryann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 27th, 2010 - about 14 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 1730102989 NPPES
Florida Other P00852111 RAILROAD MEDICARE

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