Russell-Brockett, Leslie Larae

Russell-Brockett, Leslie Larae is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Russell-Brockett, Leslie Larae can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 661273 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 661273 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP114563 Texas

Profile Details

NPI number 1700890993
LBN Legal business name Russell-Brockett, Leslie Larae
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 23rd, 2021 - about 3 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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