Provider Demographics
NPI:1497154900
Name:COOK, LESLIE RENAE (NPNP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:RENAE
Last Name:COOK
Suffix:
Gender:F
Credentials:NPNP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:RENAE
Other - Last Name:SYLER AND WINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1150 ROBERT BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2006
Mailing Address - Country:US
Mailing Address - Phone:985-280-7337
Mailing Address - Fax:985-280-7340
Practice Address - Street 1:1150 ROBERT BLVD STE 330
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2006
Practice Address - Country:US
Practice Address - Phone:985-280-7337
Practice Address - Fax:985-280-7340
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17526363LP0200X
LAAP08495363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics