Individual
LESLIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
51 N DUNLAP ST, STE. 235, MEMPHIS, TN 38105-4625
(901) 287-7337
Mailing address
4306 LONG LEAF DR, MEMPHIS, TN 38117-2358
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20501
TN
Other
Enumeration date
11/04/2015
Last updated
12/17/2015
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