Leslie M. Carmack in Bloomington - Nurse Practitioner
Leslie M. Carmack - NPI 1073760716
Leslie M. Carmack is a Nurse Practitioner in Bloomington, Illinois. Leslie M. Carmack practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leslie M. Carmack is 1073760716. The last update date is 2020-10-06.
Leslie M. Carmack's current location address is 1701 E College Ave, Bloomington, Illinois. You can contact this provider via phone number 3096643800 and fax number 3096643461. The mailing address for Leslie M. Carmack is 1701 E College Ave, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie M. Carmack |
|---|---|
| Address | 1701 E College Ave, Bloomington, Illinois |
| Phone Number | 3096643800 |
| Fax Number | 3096643461 |
| Sole Proprietor | N |
| Credentials | A.P.N. |
NPI Number Detail
| NPI Number | 1073760716 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 1701 E College Ave |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617042101 |
| Phone Number | 3096643800 |
| Fax Number | 3096643461 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-007212 |
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Definition: (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 certifi |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leslie M. Carmack by the Centers for Medicare & Medicaid Services?
The Leslie M. Carmack has been issued the NPI (National Provider Identifier) 1073760716, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leslie M. Carmack?
The Leslie M. Carmack is situated at 1701 E College Ave, in the city of Bloomington, state of IL, with the zip code 617042101.
What is the Leslie M. Carmack's specialty and taxonomy code?
The Leslie M. Carmack's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073760716 to Leslie M. Carmack?
The Leslie M. Carmack received its 1073760716 assignment from the Centers for Medicare & Medicaid Services on 2008-08-25.
As of what date were the details related to Leslie M. Carmack most recently updated or revised?
The information pertaining to Leslie M. Carmack, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-06.
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