Healthcare Provider Details

I. General information

NPI: 1376735423
Provider Name (Legal Business Name): LESLIE W NORRIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 ASHEVILLE HWY
SYLVA NC
28779-2731
US

IV. Provider business mailing address

193 ASHEVILLE HWY
SYLVA NC
28779-2731
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-8935
  • Fax: 828-349-6810
Mailing address:
  • Phone: 828-586-8935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201343
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: