Individual provider · Type 1 NPI
Leslie Tynes, AGACNP, RNFA
Acute Care Nurse Practitioner · Jackson, MS
NPI number
1447786801
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-5503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 903191 (MS) |
| Nurse Practitioner | 363L00000X | 903191 (MS) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 903191 (MS) |
| Acute Care Nurse Practitioner | 363LA2100X | 1-111893 (AL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1447786801
Leslie Tynes, AGACNP, RNFA's National Provider Identifier is 1447786801, issued on May 4, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Aug 6, 2020.