Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE LEWYNELL PROVOST
ActiveLESLIE LEWYNELL PROVOST is a Occupational Health Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1700449220 is currently active in the NPPES registry. Verify at CMS.
Occupational Health Nurse Practitioner · SHREVEPORT, LA
Registration Details
- NPI Number
- 1700449220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2019 (7.3290368805395 yrs)
- Last Updated
- Sep 1, 2023
- Licenses
-
200771 (LA)200771 (LA)
Practice Information
- Address
-
510 E STONER AVESHREVEPORT, LA, 711014243Browse LA providers · Browse ZIP 71101
- Phone
- 3182218411
- Primary Specialty
-
Occupational Health Nurse Practitioner
363LX0106X
- Additional Specialty
- Occupational Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.