Johnson, Leslie A
Johnson, Leslie A is an individual health care provider with primary practice located at 19636 N 27Th Ave Ste 401, Phoenix AZ 85027-4013. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Leslie A can be contacted via phone (602) 298-8888.Contact Information
Primary practice address
19636 N 27Th Ave Ste 401
Phoenix AZ 85027-4013
Phone: (602) 298-8888
Fax: (602) 978-4129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN091028 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP 1352 | Arizona |
Profile Details
| NPI number | 1740255181 |
|---|---|
| LBN Legal business name | Johnson, Leslie A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 25th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740255181 | NPPES |
| Arizona | MEDICAID | 796617 | |
| Arizona | Other | 3Z3967 |
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