Healthcare Provider Details

I. General information

NPI: 1598381261
Provider Name (Legal Business Name): LESLIE HUGHES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 DUVAL DR
MONROE LA
71201-2986
US

IV. Provider business mailing address

2504 MYRTLE ST
MONROE LA
71201-3328
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-3933
  • Fax:
Mailing address:
  • Phone: 318-355-5714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP213924
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number213924
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: