Healthcare Provider Details

I. General information

NPI: 1467905992
Provider Name (Legal Business Name): WESLEY K LEFTWICH PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 ELYSIAN FIELDS AVE
NEW ORLEANS LA
70117-8208
US

IV. Provider business mailing address

1631 ELYSIAN FIELDS AVE CREDENTIALING
NEW ORLEANS LA
70117-8208
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-2601
  • Fax: 504-814-6047
Mailing address:
  • Phone: 504-821-2601
  • Fax: 888-736-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09915
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN159953
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP09915
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: