Basic Information
Provider Information
NPI: 1497968259
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: LESLIE
MiddleName: ARMSTRONG
NamePrefix: MRS.
NameSuffix:  
Credential: ACNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TODD
OtherFirstName: LESLIE
OtherMiddleName: ARMSTRONG
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: ARNP-BC
OtherLastNameType: 1
Mailing Information
Address1: 979 E 3RD ST
Address2: SUITE B601
City: CHATTANOOGA
State: TN
PostalCode: 374032136
CountryCode: US
TelephoneNumber: 4237788179
FaxNumber: 4237788180
Practice Location
Address1: 979 E 3RD ST
Address2: SUITE B601
City: CHATTANOOGA
State: TN
PostalCode: 374032136
CountryCode: US
TelephoneNumber: 4237788179
FaxNumber: 4237788180
Other Information
ProviderEnumerationDate: 05/08/2007
LastUpdateDate: 07/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X0000007775TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


Home