LESLIE LEWYNELL PROVOST
NPI 1700449220
Nurse Practitioner - Occupational Health in Shreveport, LA

Active since April 19, 2019
510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Apr 19, 2019 (2 updates tracked since 2019).

About Leslie Lewynell Provost NPPES

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

LESLIE LEWYNELL PROVOST (NPI 1700449220) is an individual occupational health provider in Shreveport, Louisiana, licensed in Louisiana (200771) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1700449220
Entity TypeIndividualFemale
Primary Taxonomy363LX0106X
Provider Legal NameLESLIE LEWYNELL PROVOST
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address715 Reeds ReefBossier City, LA 71112-9757 · (318) 550-7495
Sole ProprietorNo
Enumeration DateApril 19, 2019
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1700449220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License Licensed in LA · 200771
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 200771 (LA)
510 E STONER AVE, Shreveport, LA 71101

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Provost's NPI number?

The NPI number for Leslie Provost is 1700449220. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Leslie Provost located?

Leslie Provost practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 221-8411.

What is Leslie Provost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

What insurance does Leslie Provost accept?

Health plans from HMO Louisiana list Leslie Provost as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Provost was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.