Individual
MRS. LESLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
12675 BEACH BLVD #101, JACKSONVILLE, FL 32246
(904) 204-1541
Mailing address
1202 PALMER TER, JACKSONVILLE, FL 32207-8939
(813) 541-8911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9203170
FL
Other
Enumeration date
12/18/2012
Last updated
07/21/2021
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