Provider Demographics
NPI:1326426552
Name:YERKES, LESLIE ANNE (MSN, RN, APN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANNE
Last Name:YERKES
Suffix:
Gender:F
Credentials:MSN, RN, APN, FNP-C
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:ANNE
Other - Last Name:BROOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:2 AUTUMNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4842
Mailing Address - Country:US
Mailing Address - Phone:856-600-9222
Mailing Address - Fax:856-273-4385
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-336-5806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9479200363LF0000X
PARN307246L363LF0000X
NJ26NJ00556000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily