Individual provider · Type 1 NPI

Leslie A. Barstow

Psychiatric/Mental Health Nurse Practitioner · Ponte Vedra Beach, FL

NPI number 1578093142 Active

Practice location

400 Colonnade Dr Ste 230
Ponte Vedra Beach, FL 32081-6237

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN9354746 (FL)
Family Nurse Practitioner 363LF0000XAPRN9354746 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN9354746 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1578093142

Leslie A. Barstow's National Provider Identifier is 1578093142, issued on Jun 15, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Aug 5, 2022.