Individual provider · Type 1 NPI

Leslie James Hellenga

Gerontology Nurse Practitioner · Columbia, SC

NPI number 1609206630 Active

Practice location

1301 Taylor St
Columbia, SC 29201-2942

Fax (803) 596-5902

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X18489 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X18489 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1609206630

Leslie James Hellenga's National Provider Identifier is 1609206630, issued on Nov 12, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, SC. The record was last updated on Jan 18, 2023.