Individual
LESLIE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGNP-BC
Contact information
Practice address
7151 COLLEYVILLE BLVD STE 103, COLLEYVILLE, TX 76034-8030
(817) 416-1931
(817) 488-8527
Mailing address
1141 KELLER PKWY STE B, KELLER, TX 76248-1628
(817) 431-9199
(888) 690-2833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
763534
TX
363LG0600X
Gerontology Nurse Practitioner
763534
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
763534
TX
Other
Enumeration date
02/27/2014
Last updated
06/08/2017
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