Individual
LESLIE A ARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(013) 500-9789
(901) 350-0677
Mailing address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(013) 500-9789
(901) 350-0677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN14487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517153
—
TN
01
—
6018872
BCBS
TN
01
—
830341
WELLCARE
—
01
—
9625665
AETNA
—
01
—
P00805097
RAILROAD MEDICARE
—
Enumeration date
10/26/2009
Last updated
01/16/2024
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