Individual provider · Type 1 NPI
Leslie Jo Buzzard
Nurse Practitioner · Fort Wayne, IN
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Fax (260) 373-6704
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 28230306A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71014049A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1881386563
Leslie Jo Buzzard's National Provider Identifier is 1881386563, issued on May 22, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 30, 2023.