Individual
LESLEY L VERNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
4114 POND HILL ROAD, SUITE 101, SAN ANTONIO, TX 78231
(210) 249-5020
(210) 494-2209
Mailing address
4114 POND HILL ROAD, SUITE 101, SAN ANTONIO, TX 78231
(210) 249-5020
(210) 494-2209
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP111986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190304903
—
TX
01
—
190304904
CSHCN
TX
01
—
8F10116
MEDICARE
TX
Enumeration date
02/02/2007
Last updated
04/15/2015
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