Individual provider · Type 1 NPI
Leslie Marie Wilson, PNP
Primary Care Nurse Practitioner · Fort Worth, TX
NPI number
1255854121
Active
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Fax (682) 885-1090
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP135215 (TX) |
| Pediatric Nurse Practitioner | 363LP0200X | 708360 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1255854121
Leslie Marie Wilson, PNP's National Provider Identifier is 1255854121, issued on Jul 21, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on May 6, 2026.