Provider Demographics
NPI:1326354739
Name:ADAMS, LESLIE AMBER (APN, DNP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:AMBER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 CAMDEN CUTOFF RD
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-9199
Mailing Address - Country:US
Mailing Address - Phone:870-510-6467
Mailing Address - Fax:
Practice Address - Street 1:4747 DUSTY LAKE DR
Practice Address - Street 2:SUITE G1
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-8742
Practice Address - Country:US
Practice Address - Phone:870-536-6600
Practice Address - Fax:870-541-8623
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03430.363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily