Provider Demographics
NPI:1740594134
Name:RIGGS, LESLIE A (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:A
Last Name:RIGGS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 PEARL ST
Mailing Address - Street 2:SUITE 146-A
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3629
Mailing Address - Country:US
Mailing Address - Phone:409-784-5881
Mailing Address - Fax:409-784-5882
Practice Address - Street 1:1225 PEARL ST
Practice Address - Street 2:146-A
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3629
Practice Address - Country:US
Practice Address - Phone:409-784-5881
Practice Address - Fax:409-784-5882
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554323163W00000X
TX119159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119159OtherTEXAS BOARD OF NURSING
1669545067OtherGROUP NPI
TX554323OtherTEXAS BOARD OF NURSING RN
TXA0176772OtherDPS
MB2280422OtherDEA