MEDICARE: LESLIE ANN ARLEDGE FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5007205	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232532	OTHER	NC	RN LICENSE
2	397730042	OTHER	NC	NSC#

General Provider Information

NPI Number	:	1669874137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ANN ARLEDGE FNP-C

Provider Business Mailing Address
First Line	:	4601 PARK RD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2290
Country	:	US
Telephone Number	:	704-323-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 WINSTON RD
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-526-0037
Fax Number	:	336-571-8615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	10/12/2023

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