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NPI Code Detail

MEDICARE: MS. LESLIE ANN MARIE PARRISH FNP-C

MEDICARE: MS. LESLIE ANN MARIE PARRISH 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
1363L00000XNurse PractitionerCNP-02313NM
2363L00000XNurse PractitionerRN2290704MA
3363LF0000XFamily Nurse PractitionerRN2290704MA

General Provider Information

NPI Number : 1740317965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE ANN MARIE PARRISH FNP-C
Provider Business Mailing Address
First Line : 3315 WILSON AVE
Second Line :
City : MINGO JUNCTION
State : OH
Zip : 43938-2407
Country : US
Telephone Number : 254-289-5825
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75244-5071
Country : US
Telephone Number : 877-868-5351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 05/04/2025

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