Individual
MRS. TINA LESLIE-WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13242 CYPRESS SWAMP DR, GEISMAR, LA 70734-3062
(225) 229-3552
Mailing address
13242 CYPRESS SWAMP DR, GEISMAR, LA 70734-3062
(225) 229-3552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN106703
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08471
LA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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