LESLIE NICOLE CLEMONS


Address: 2550 Simpson Rd, Kissimmee, FL 34744-4637
Phone: 4073480990

LESLIE NICOLE CLEMONS (NPI# 1942843149) 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) 1942843149
Entity Type Individual
Full Name LESLIE NICOLE CLEMONS
Credential NP
Practice Address 2550 Simpson Rd
Kissimmee
FL 34744-4637
Mailing Address 23 E Byrd Rd
Hartselle
AL 35640-8129
Practice Telephone 4073480990
Practice Fax Number 4079449041
Mailing Telephone 2567510741
Enumeration Date 2019-10-21
Last Update Date 2019-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
11004147 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2550 SIMPSON RD
City KISSIMMEE
State FL
Zip Code 34744-4637

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NPI Name Taxonomy Address Enumeration
1356767107 Bvl Family Medical Center Non-Pharmacy Dispensing Site 2550 Simpson Rd, Kissimmee, FL 34744-4637 2014-03-17

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1043872229 Jessie M Swisher Nurse Practitioner 700 W Oak St, Kissimmee, FL 34741-4996 2019-07-08
1760982052 Priscilla Yvette Mercado Nurse Practitioner 1819 W Oak St, Kissimmee, FL 34741-4077 2018-02-14
1104240035 Lesley Randoll Nurse Practitioner 831 Simpson Rd, Kissimmee, FL 34744-5328 2014-02-12

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Competitor

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City KISSIMMEE
Zip Code 34744

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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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