Leslie R Pryor, RN,MSN,ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NN05924800 Issued in NJ

Practice address

777 Route 70 East
Suite G-101
Marlton, NJ 08053-2345

Phone

(856) 983-9939

Fax

(856) 983-9936

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Practitioner Pryor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: leslie.pryor@elmwoodfamilypractice.chartmakerdirect.com
• Direct secure messaging: leslie.pryor@tabernaclefamilypractice.chartmakerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1467571109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 EAST",
            "address_2": "SUITE G-101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532345",
            "telephone_number": "856-983-9939",
            "fax_number": "856-983-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 EAST",
            "address_2": "SUITE G-101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532345",
            "telephone_number": "856-983-9939",
            "fax_number": "856-983-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "LESLIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "NN59248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN05924800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRACTITIONER",
            "last_name": "PRYOR",
            "credential": "MSN CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol D Pross, M.D.
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• Mia Prowisor
• Kayla Pruitt
• Gregory J Pryor, LCSW, LCADC
• Psychfocus Consulting LLC
• Psychotherapy & Consultation of SJ
• Psychotherapy & Consultation of South Jersey LLC
• Avinash Puchalapalli, MD
• Philip A. Puleom.S. CCC-SLP, M.S. CCC-SLP

• Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.