LESLIE M. CARMACK A.P.N. - NPI 1073760716 - Nurse Practitioner in Bloomington, IL

Q: What is Leslie Carmack's NPI number?

The NPI number for Leslie Carmack is 1073760716. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Q: What is Leslie Carmack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Carmack was last updated on October 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Leslie M. Carmack A.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE M. CARMACK A.P.N. (NPI 1073760716) is an individual nurse practitioner in Bloomington, Illinois, licensed in Illinois (209-007212) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1073760716

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLESLIE M. CARMACKCredential: A.P.N.

Location Address1701 E COLLEGE AVEBloomington, IL 61704-2101

Mailing Address1701 E College AveBloomington, IL 61704-2101 · (309) 664-3800 · Fax (309) 664-3461

Phone(309) 664-3800

Fax(309) 664-3461

Sole ProprietorNo

Enumeration DateAugust 25, 2008

Last NPPES UpdateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1073760716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-007212

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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1701 E COLLEGE AVE, Bloomington, IL 61704

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