MEDICARE: LESLIANNE KASPER APRN 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
1	363LF0000X	Family Nurse Practitioner	ARPN11031884	FL

General Provider Information

NPI Number	:	1548009608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIANNE KASPER APRN FNP-C

Provider Business Mailing Address
First Line	:	4101 CHARLOTTE AVE STE F185
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4066
Country	:	US
Telephone Number	:	330-701-3291
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 HOSPITAL DR STE 170A
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-2454
Country	:	US
Telephone Number	:	386-445-4734
Fax Number	:	386-445-8411

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

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	12/16/2025

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