Locklear, Leslie Amanda

Locklear, Leslie Amanda is an individual health care provider with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Locklear, Leslie Amanda can be contacted via phone (907) 228-8140.

Contact Information

Primary practice address
3100 Tongass Ave Ketchikan AK 99901-5746
Phone: (907) 228-8140
Fax: (907) 228-8440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1146 Alaska

Profile Details

NPI number 1336469469
LBN Legal business name Locklear, Leslie Amanda
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Mar 21st, 2019 - about 6 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 1336469469 NPPES
Alaska MEDICAID 1022353

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