Doctor Name: | LESLIE KENDRA OXENDINE |
NPI Number: | 1063643849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 5004421 |
Business Practice Address: | 700a Progress Pl Laurinburg, NC - 283525545 |
Business Phone Number: | 9102766767 |
Business Fax Number: | 9102767877 |
Mailing Address: | Po Box 602458, CHARLOTTE |
State: | NC |
Postal Code: | 282602458 |
Phone Number: | 9102766767 |
Fax Number: | 9102767877 |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 11/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5004421 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |