Lesley Marie Mathis, ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Fairview, TN
NPI 1649575978 · NPPES record last updated Jan 18, 2011
Key facts
- NPI
- 1649575978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APN0000014712 (TN)
- Practice address
- 7505 Mayfair CT
Fairview, TN 37062-7337 - Phone
- (615) 364-7978
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000014712 | TN | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN0000014712 | TN | Yes |
Addresses
Primary practice location
7505 Mayfair CT
Fairview, TN 37062-7337
Mailing address
7505 Mayfair CT
Fairview, TN 37062-7337
Phone (615) 364-7978
Other providers in Fairview, TN
- KJK LLC
- Nicholas Kramer
- Devin Kye Krekel
- Allison Leich Hilbun
- Paul Frank Luther Jr.
- Jennifer McMahan
- Mercy Health Service - Fairview High School
- Mercy Health Services - Fairview Elementary School
- Mercy Health Services - Fairview Middle School
- Mercy Health Services - Westwood Elementary School
All providers in Fairview, TN · Acute Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2011. 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.