Davis, Leslie A

Davis, Leslie A is an individual health care provider with primary practice located at 5607 Dickenson Hwy , Clintwood VA 24228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Leslie A can be contacted via phone (276) 926-4601.

Contact Information

Primary practice address
5607 Dickenson Hwy Clintwood VA 24228
Phone: (276) 926-4601
Fax: (276) 926-4602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007214 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169761 Virginia

Profile Details

NPI number 1720355977
LBN Legal business name Davis, Leslie A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated May 15th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720355977 NPPES
Virginia MEDICAID 1720355977

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