Individual
LEANNA JO WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8310 UNIVERSITY EXEC PARK DR, SUITE 550, CHARLOTTE, NC 28262-1572
(704) 384-1225
(704) 384-1226
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1225
(704) 384-1226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5002176
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003867
—
NC
05
—
NP2020
—
SC
01
—
P00918719
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
03/18/2015
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