LESLIE MARIE WILSON (NPI# 1255854121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255854121 |
Entity Type | Individual |
Full Name | LESLIE MARIE WILSON |
Credential | PNP |
Practice Address |
8376 Mojave Trl Fort Worth TX 76116-3638 |
Mailing Address |
Po Box 732973 Dallas TX 75373-2973 |
Practice Telephone | 8177024881 |
Practice Fax Number | 8175601940 |
Mailing Telephone | 8177028450 |
Enumeration Date | 2017-07-21 |
Last Update Date | 2018-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
708360 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
1598247892 | Leslie Henry Wilson | In Home Supportive Care | 1211 N Range Ave Ste D, Denham Springs, LA 70726-2428 | 2018-09-04 |
1699277251 | Leslie Margarita Wilson | Counselor | 2900 Bristol St Ste 103, Costa Mesa, CA 92626-5981 | 2018-02-28 |
1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
1962799619 | Leslie Ann Wilson | Speech-Language Pathologist | 391 E Allen St Apt 22, Castle Rock, CO 80108-7664 | 2011-07-01 |
1952452823 | Leslie Ann Wilson | Marriage & Family Therapist | 6134 E. Highway 20, Lucerne, CA 95458 | 2007-01-16 |
1154311108 | Leslie Wilson | Pediatrics | 3130 Se Military Dr Ste 101, San Antonio, TX 78223-3892 | 2005-10-21 |
1003463704 | Leslie Marie Wilson | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-08-19 |
1932659968 | Leslie J Wilson | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2016-10-14 |
1639424799 | Leslie Diane Wilson | Physical Therapist | 3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305 | 2012-07-16 |
Street Address |
8376 MOJAVE TRL |
City | FORT WORTH |
State | TX |
Zip Code | 76116-3638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548412018 | Christie Ramirez | Nurse Practitioner | 8376 Mojave Trl, Fort Worth, TX 76116-3638 | 2008-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
Find all providers in zip 76116 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
1023594009 | Erica M Lucas | Nurse Practitioner | 800 8th Ave Ste 200, Fort Worth, TX 76104-2619 | 2018-07-13 |
1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
1427489400 | Brenda Bosch | Nurse Practitioner | 11807 Med Park Dr, Ste 365, Fort Worth, TX 76028-3509 | 2013-12-02 |
1447535463 | Anamarina Jarecke | Nurse Practitioner | 5300 Buchanan St, Fort Worth, TX 76114-1304 | 2011-10-21 |
1770873077 | Michelle Beatrice Oconnor | Nurse Practitioner | 6239 Granbury Rd, Fort Worth, TX 76133-3401 | 2011-04-08 |
1912208687 | Andrea Madeliene Newman | Nurse Practitioner | 901 7th Ave Ste 120, Fort Worth, TX 76104-2724 | 2010-11-10 |
1629306709 | Autumn Brianne Morris | Nurse Practitioner | 901 W Rosedale St, Fort Worth, TX 76104-4672 | 2009-11-30 |
1235466624 | Courtney Shea Stewart | Nurse Practitioner | 5917 Yosemite Dr, Fort Worth, TX 76112-3938 | 2009-11-06 |
1548412018 | Christie Ramirez | Nurse Practitioner | 8376 Mojave Trl, Fort Worth, TX 76116-3638 | 2008-10-16 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76116 |
Please comment or provide details below to improve the information on LESLIE MARIE WILSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.