Individual
LESLIE SUZANNE ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-3793
(317) 885-3799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202787A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022372
—
IN
Enumeration date
01/28/2019
Last updated
05/09/2023
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