Provider Demographics
NPI:1740991629
Name:LESHER, JAMIE MARIE (DNP, FNP-BC, BSN, RN)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:LESHER
Suffix:
Gender:F
Credentials:DNP, FNP-BC, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FLORAL VALE BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5583
Mailing Address - Country:US
Mailing Address - Phone:267-759-6300
Mailing Address - Fax:
Practice Address - Street 1:1000 FLORAL VALE BLVD STE 125
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5583
Practice Address - Country:US
Practice Address - Phone:267-759-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026641363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner