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NPI Code Detail

MEDICARE: LESLIE BURGESS ARNP

MEDICARE: LESLIE BURGESS ARNP
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 Practitioner39269TN

General Provider Information

NPI Number : 1871765529
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE BURGESS ARNP
Provider Business Mailing Address
First Line : 2358 LIFESTYLE WAY STE 100
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-4907
Country : US
Telephone Number : 423-602-2750
Fax Number : 423-602-2762
Provider Business Practice Location Address
First Line : 2358 LIFESTYLE WAY STE 100
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-4907
Country : US
Telephone Number : 423-602-2750
Fax Number : 423-602-2762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2008
Last Update Date : 03/10/2026

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Directions to “ LESLIE BURGESS ARNP” Practice Location

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