Provider Demographics
NPI:1619619863
Name:SPEER, LESLIE (MSN, RN, CNL, CPN)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:SPEER
Suffix:
Gender:F
Credentials:MSN, RN, CNL, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 CORNICE DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2148
Mailing Address - Country:US
Mailing Address - Phone:615-428-0798
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LN STE 36301
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3615
Practice Address - Country:US
Practice Address - Phone:615-936-5697
Practice Address - Fax:615-936-8668
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN193603163WP2201X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care