MEDICARE: MISS MARISSA ANNE LEASURE NP

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	RN165949	GA

General Provider Information

NPI Number	:	1346529633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARISSA ANNE LEASURE NP

Provider Business Mailing Address
First Line	:	1210 PINE RIDGE RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-2732
Country	:	US
Telephone Number	:	678-612-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 PINE RIDGE RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-2732
Country	:	US
Telephone Number	:	678-612-2664
Fax Number	:

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

Similar Medicare Providers

1164648184 — SCOTT PATTERSON MD PC
Practice Location Address:

76 PACES WEST CT NW
ATLANTA, GA
30327-2732

Practice Phone: 404-495-0630
Practice Fax: 404-495-0640

1598982845 — ELEANOR BROWER PHD
Practice Location Address:

76 PACES WEST CT NW
ATLANTA, GA
30327-2732

Practice Phone: 404-495-0630
Practice Fax: 404-495-0640

1477414142 — DR. LISA CARAWAY OLIVER
Practice Location Address:

3827 KENNER DR SW
ATLANTA, GA
30331-2732

Practice Phone: 404-630-9106
Practice Fax:

1437152402 — BIOSCRIP PHARMACY, INC.
Practice Location Address:

1874 PIEDMONT AVE NE BLDG A , SUITE A
ATLANTA, GA
30324-4869

Practice Phone: 404-733-6800
Practice Fax:

1154329613 — DR. JENELLE E FOOTE M.D.
Practice Location Address:

1924 PIEDMONT RD NE
ATLANTA, GA
30324-4117

Practice Phone: 404-881-0966
Practice Fax: 404-881-0966

1104810241 — DR. CHARLES ALGER ZAPF M.D.
Practice Location Address:

25B LENOX POINTE NE
ATLANTA, GA
30324-3172

Practice Phone: 404-364-0204
Practice Fax: 404-266-8687

Directions to “ MISS MARISSA ANNE LEASURE NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.