LESLIE SULLINS (NPI# 1619490307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490307 |
| Entity Type | Individual |
| Full Name | LESLIE SULLINS |
| Credential | FNP-C |
| Practice Address |
450 W Monroe St Wytheville VA 24382-2236 |
| Mailing Address |
254 Booher Rd Apt C2 Bristol TN 37620-2644 |
| Practice Telephone | 2762230558 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175150 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 W MONROE ST |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658209 | Sandra Phillippi Clarke | Pharmacist | 450 W Monroe St, Wytheville, VA 24382-2236 | 2006-05-20 |
| 1811409048 | Amanda Michelle Arnold | Nurse Practitioner | 450 W Monroe St, Wytheville, VA 24382-2236 | 2017-10-27 |
| 1952701336 | Venessa Coake | Registered Nurse | 450 W Monroe St, Wytheville, VA 24382-2236 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114464963 | Kimberly Nichole Horton | Nurse Practitioner | 1375 West Ridge Road, Wytheville, VA 24382-0718 | 2017-01-31 |
| 1962757369 | Molly L Johnson | Nurse Practitioner | 210 Pepsi Way, Wytheville, VA 24382-3030 | 2012-07-21 |
| 1972138493 | Tammy Lynn Guinn | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2020-03-04 |
| 1306314612 | Erin Elizabeth Justice | Nurse Practitioner | 245 Holston Rd Ste B, Wytheville, VA 24382-4486 | 2018-11-05 |
| 1851875710 | Andrew Preston Widener | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2018-09-17 |
| 1346756996 | Beth Shavon Dalton | Nurse Practitioner | 1785 W Lee Hwy, Wytheville, VA 24382-1437 | 2017-12-19 |
| 1811409048 | Amanda Michelle Arnold | Nurse Practitioner | 450 W Monroe St, Wytheville, VA 24382-2236 | 2017-10-27 |
| 1063921625 | Cassie Ann Sheffey | Nurse Practitioner | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2017-09-27 |
| 1306367149 | Amanda Stoots Wright | Nurse Practitioner | 342 Virginia Ave, Wytheville, VA 24382-1185 | 2017-07-02 |
| 1477087500 | Jennifer L Tarter | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2017-04-15 |
| Find all providers in WYTHEVILLE | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on LESLIE SULLINS.
| 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.