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NPI Code Detail

MEDICARE: JAMES ANDREW LEATH FNP-C

MEDICARE: JAMES ANDREW LEATH FNP-C
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
1363LF0000XFamily Nurse PractitionerAP138718TX
2163W00000XRegistered Nurse736743TX

General Provider Information

NPI Number : 1528541489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ANDREW LEATH FNP-C
Provider Business Mailing Address
First Line : 912 WALNUT HILL DR
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5052
Country : US
Telephone Number : 903-291-6300
Fax Number : 903-291-6305
Provider Business Practice Location Address
First Line : 912 WALNUT HILL DR
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5052
Country : US
Telephone Number : 903-291-6300
Fax Number : 903-291-6305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 09/29/2025

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Directions to “ JAMES ANDREW LEATH FNP-C” Practice Location

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