Provider Demographics
NPI:1578517587
Name:AKINS, LESLIE N (NP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:N
Last Name:AKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1800 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 440
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2567
Mailing Address - Country:US
Mailing Address - Phone:615-867-1940
Mailing Address - Fax:615-895-2941
Practice Address - Street 1:1800 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 440
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2567
Practice Address - Country:US
Practice Address - Phone:615-867-1940
Practice Address - Fax:615-895-2941
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005411363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3901407Medicaid
TN3901407Medicaid
TNP29456Medicare UPIN