Individual
LESLIE A BARSTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COLONNADE DR STE 230, PONTE VEDRA BEACH, FL 32081-6237
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9354746
FL
363LF0000X
Family Nurse Practitioner
APRN9354746
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9354746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021373700
—
FL
Enumeration date
06/15/2017
Last updated
08/05/2022
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