Leslie Lewynell Provost
Leslie Lewynell Provost is a Primary Care Nurse Practitioner in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2019.
- Licensed in
- LA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
510 E Stoner AveShreveport, LA 71101-4243
Phone: (318) 221-8411
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Specialties & licences
| Occupational Health Nurse Practitioner (primary) | Taxonomy 363LX0106X · Licence 200771 (LA) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 200771 (LA) |
Record details
| NPI number | 1700449220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2019 |
| Last updated in NPPES | September 1, 2023 |
| Certification date | September 1, 2023 |
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