Individual
LESLIE BIRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
(731) 660-8739
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55396
TN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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