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NPI Code Detail

MEDICARE: LESLEY MORGAN WINGFIELD APRN

MEDICARE:   LESLEY MORGAN WINGFIELD  APRN
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 Practitioner23487TN

General Provider Information

NPI Number : 1558875666
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY MORGAN WINGFIELD APRN
Provider Business Mailing Address
First Line : 2257 N GERMANTOWN PKWY STE 112
Second Line :
City : CORDOVA
State : TN
Zip : 38016-7412
Country : US
Telephone Number : 901-922-5425
Fax Number : 901-842-1473
Provider Business Practice Location Address
First Line : 6500 KIRBY GATE BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-2673
Country : US
Telephone Number : 901-842-1473
Fax Number : 901-844-1439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2017
Last Update Date : 05/19/2021

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