Leslie Brook Tzen, NP

Individual provider Active NPI Family Nurse Practitioner · Jesup, GA

NPI 1043873987 · NPPES record last updated Apr 16, 2019

Key facts

NPI
1043873987
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN261296 (GA)
Practice address
141 S Macon St
Jesup, GA 31545-1114
Phone
(912) 427-3202
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GHC-Jesup, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN261296 GA Yes

Addresses

Primary practice location

141 S Macon St
Jesup, GA 31545-1114

Mailing address

203 General Stewart Way
Hinesville, GA 31313-2422
Phone (912) 332-4525

Other names

  • Leslie Brook Williams Former name

Other providers in Jesup, GA

All providers in Jesup, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.