Provider Demographics
NPI:1124394416
Name:DONET, LESLIE ELAINE (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ELAINE
Last Name:DONET
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 CENTENIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-3533
Mailing Address - Country:US
Mailing Address - Phone:806-239-1154
Mailing Address - Fax:
Practice Address - Street 1:805 S CLAY ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-5750
Practice Address - Country:US
Practice Address - Phone:972-875-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX701017363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily