Healthcare Provider Details

I. General information

NPI: 1891296232
Provider Name (Legal Business Name): AMBER LYNN LESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 AIRPORT BLVD
MOBILE AL
36608-3709
US

IV. Provider business mailing address

12174 W KEN CARYL CIR APT 306
LITTLETON CO
80127-3138
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8880
  • Fax:
Mailing address:
  • Phone: 251-581-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995154-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907410
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-131589
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: