Active NPI
Leslie Brook Tzen, NP
- Family Nurse Practitioner
- Jesup, GA
National Provider Identifier
1043873987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN261296
- Practice address
- 141 S Macon St
Jesup, GA 31545-1114 - Phone
- (912) 427-3202
- NPI assigned
- Apr 16, 2019
- Last updated
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN261296 | GA | Primary |
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 1
- Leslie Brook Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN261296 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GHC-Jesup, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1043873987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GENERAL STEWART WAY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132422",
"telephone_number": "912-332-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S MACON ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315451114",
"telephone_number": "912-427-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TZEN",
"first_name": "LESLIE",
"middle_name": "BROOK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN261296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "WILLIAMS",
"middle_name": "BROOK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.