IndividualActive
Leslie Provost
NPI 1700449220 · Occupational Health Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1700449220
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200771 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
Approximate (ZIP-level) locationGet directions
Mailing address
715 Reeds Reef
Bossier City, LA 71112-9757
Registry dates
- Enumerated
- 2019-04-19
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.