Individual
LESLIE JOAN DESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 W NIFONG BLVD STE 120, COLUMBIA, MO 65203-5615
(573) 444-6331
(855) 576-4137
Mailing address
1000 W NIFONG BLVD STE 120, COLUMBIA, MO 65203-5615
(573) 444-6331
(855) 576-4137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020032348
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420103504
—
MO
Enumeration date
10/20/2020
Last updated
09/21/2025
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