Doctor Name: | MRS. LESLIE RHODES |
NPI Number: | 1003052010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP-BC |
License Number: | 13893 |
Business Practice Address: | 50 N Dunlap St Memphis, TN - 381032800 |
Business Phone Number: | 9012876454 |
Business Fax Number: | |
Mailing Address: | 50 N Dunlap St, MEMPHIS |
State: | TN |
Postal Code: | 381032800 |
Phone Number: | 9012876455 |
Fax Number: | 9012876445 |
NPI Enumeration Date: | 12/22/2008 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 13893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |