BRANDY LESLIE


Address: 1612 S Henderson Blvd, Kilgore, TX 75662-3518
Phone: 9039834389

BRANDY LESLIE (NPI# 1881080778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881080778
Entity Type Individual
Full Name BRANDY LESLIE
Credential PMHNP-BC
Practice Address 1612 S Henderson Blvd
Kilgore
TX 75662-3518
Practice Telephone 9039834389
Practice Fax Number 9039834320
Mailing Telephone 9039834389
Mailing Fax Number 9039834320
Enumeration Date 2015-04-08
Last Update Date 2015-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP127912 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1612 S HENDERSON BLVD
City KILGORE
State TX
Zip Code 75662-3518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700878014 Laird Memorial Hospital General Acute Care Hospital 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2005-08-22
1407089386 Allegiance Specialty Hospital of Kilgore Psychiatric Hospital 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2009-08-26
1497925267 Allegiance Specialty Hospital of Kilgore LLC Long Term Care Hospital 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2008-03-07
1053351254 Alan S Clark Emergency Medicine 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2006-06-07
1336196989 Paul A Grant Jr Emergency Medicine 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2006-05-28
1285680835 Eulogio Bonsukan Emergency Medicine 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2006-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346890621 Linda Gail Watson Technician 190 Glendale St, Kilgore, TX 75662 2019-09-18
1174185151 Jennifer Darlene Franks Registered Nurse 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 2019-07-01
1215363312 Kilgore Integrated Health Pllc Chiropractor 726 Us Highway 259 N, Kilgore, TX 75662 2013-09-20
1407172240 Jeffrey Alan Davis Specialist/Technologist 300 N. Kilgore Street, Kilgore, TX 75662 2010-04-19
1396923777 Rachel Thunder Rose Wyatt Physical Therapist 1200 Dudley Road, Kilgore, TX 75662 2008-02-07
1346313673 Brookshire Grocery Company Pharmacy 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 2006-11-16
1417026451 Jeffery John Pinkerton Optometrist 800 Highway 259 North, Kilgore, TX 75662 2006-11-06
1831205004 Joseph Claude De Graffenried Jr. Dentist 238 Lawrence St, Kilgore, TX 75662 2006-08-21
1235159500 Charles Robert Cottier Chiropractor 316 Henderson, Kilgome, TX 75662 2006-07-20
1346509494 Kelton Hospice, Inc. Hospice Care, Community Based 1100 Stone Road, Suite 269, Kilgore, TX 75662 2012-05-10
Find all providers in zip 75662

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154929735 Valerie Michelle Vaughn-smith Nurse Practitioner 3105 Rockbrook Dr, Kilgore, TX 75662-2251 2020-10-15

Providers in the same taxonomy and state

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1750981619 Suvekchya Subedi Nurse Practitioner 4032 Vista Mar Drive, Euless, TX 76040 2020-10-29
1821698754 Christienne Felice Solis Callasan Nurse Practitioner 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 2020-10-29
1932709201 Aftercare, Pllc Nurse Practitioner 2000 Crawford St Ste 1221, Houston, TX 77002-9000 2020-10-27
1497355929 Hector Medellin IIi Nurse Practitioner 6014 County Road 4068, Kemp, TX 75143-2600 2020-10-26
1639778947 Aj Psychiatry Pllc Nurse Practitioner 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 2020-10-19
1700483468 Knd Behavioural Health Clinic Nurse Practitioner 103 Herrington Dr, Mansfield, TX 76063-7615 2020-10-06
1184231805 Tihana Sladic Nurse Practitioner 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 2020-09-27
1679189369 Charity Chioma Durant Nurse Practitioner 2310 Echo Ct, Rowlett, TX 75088-1534 2020-09-18
1760097109 Elizabeth Abena Darkowaa Nurse Practitioner 18714 Fairmont Springs Ct, Cypress, TX 77429-7308 2020-09-12
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Competitor

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City KILGORE
Zip Code 75662

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Dataset Information

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.

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