Lesley K Davidson, RN
Individual provider Active NPI Registered Nurse · Fayetteville, TN
NPI 1376731364 · NPPES record last updated Oct 4, 2007
Key facts
- NPI
- 1376731364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN0000141418 (TN)
- Practice address
- 1000 Washington St W Ste a
Fayetteville, TN 37334-2872 - Phone
- (931) 433-3231
- Fax
- (931) 438-1567
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000141418 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000141418 | TN | Yes |
Addresses
Primary practice location
1000 Washington St W Ste a
Fayetteville, TN 37334-2872
Mailing address
1000 Washington St W Ste a
Fayetteville, TN 37334-2872
Phone (931) 433-3231
Other providers in Fayetteville, TN
- Ali Brooke Daniel
- Jimmy M Daniel
- Sandra Kilburn Daniel
- William Daniel
- Dash Transport LLC
- Brenda Michele Davis
- Daniel Dejarnatt
- Doctor Mike LLC
- Lacorya Yvonne Donley
- Alan B Drewry
All providers in Fayetteville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.