Individual
MRS. LESLEY MARIE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7505 MAYFAIR CT, FAIRVIEW, TN 37062-7337
(615) 364-7978
Mailing address
7505 MAYFAIR CT, FAIRVIEW, TN 37062-7337
(615) 364-7978
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000014712
TN
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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