Provider Demographics
NPI:1437696150
Name:PURVIS, LESLIE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:PURVIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MONROE ST STE D
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-5009
Mailing Address - Country:US
Mailing Address - Phone:910-947-3521
Mailing Address - Fax:910-947-3529
Practice Address - Street 1:1001 MONROE ST STE D
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-5009
Practice Address - Country:US
Practice Address - Phone:910-947-3521
Practice Address - Fax:910-947-3529
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC232203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily