LEISA JAN BLUE CFNP
NPI 1851342950
Nurse Practitioner - Family in Bonne Terre, MO

Active since May 13, 2006
55 NESBIT DR, BONNE TERRE, MO 63628(573) 358-1480 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leisa Jan Blue Cfnp NPPES

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

LEISA JAN BLUE CFNP (NPI 1851342950) is an individual family provider in Bonne Terre, Missouri, licensed in Missouri (089876) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1851342950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEISA JAN BLUECredential: CFNP
Location Address55 NESBIT DRBonne Terre, MO 63628-1353
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829 · (615) 465-7000
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateNovember 26, 2007
NPI 1851342950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 089876
55 NESBIT DR, Bonne Terre, MO 63628

Other Identifiers 1

Medicare PIN825043813MO

Other Providers at the Same Location NPPES 7

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

Physical Therapist
55 NESBIT DR
BONNE TERRE, MO 63628
Nurse Practitioner (Family)
55 NESBIT DR
BONNE TERRE, MO 63628
Clinic/Center (Rural Health)
55 NESBIT DR
BONNE TERRE, MO 63628
Non-Pharmacy Dispensing Site
55 NESBIT DR
BONNE TERRE, MO 63628
Nurse Practitioner (Family)
55 NESBIT DR
BONNE TERRE, MO 63628
Family Medicine
55 NESBIT DR
BONNE TERRE, MO 63628
Physical Therapist
55 NESBIT DR
BONNE TERRE, MO 63628

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 Leisa Blue's NPI number?

The NPI number for Leisa Blue is 1851342950. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Leisa Blue located?

Leisa Blue practices at 55 Nesbit Dr, Bonne Terre, MO 63628. The listed phone number is (573) 358-1480.

What is Leisa Blue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Leisa Blue was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.