LESLIE PROVOST
Nurse Practitioner - Occupational Health
Active
Individual
NPI: 1700449220
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | No | 200771 (LA) |
| Nurse Practitioner - Occupational Health | 363LX0106X | Yes | 200771 (LA) |
Frequently Asked Questions
NPI 1700449220 is the National Provider Identifier for LESLIE PROVOST, a Nurse Practitioner - Occupational Health provider located in Shreveport, LA. This NPI was enumerated on April 19, 2019.
LESLIE PROVOST practices at 510 E STONER AVE, Shreveport, LA 71101.
Quick Facts
- NPI
- 1700449220
- Type
- Individual
- Enumerated
- Apr 19, 2019
- Last Updated
- Sep 1, 2023
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