Sullivan, Leslie N.

Sullivan, Leslie N. is an individual health care provider with primary practice located at 1250 Keene Rd Ste 104 , Nicholasville KY 40356-7600. 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. Sullivan, Leslie N. can be contacted via phone (859) 881-4288.

Contact Information

Primary practice address
1250 Keene Rd Ste 104 Nicholasville KY 40356-7600
Phone: (859) 881-4288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3011711 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1094118 Kentucky

Profile Details

NPI number 1780111468
LBN Legal business name Sullivan, Leslie N.
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Dec 7th, 2023 - about last year

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 1780111468 NPPES
Kentucky MEDICAID 7100494780

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