Provider Demographics
NPI:1669365631
Name:HARRIS, LESLIE KAY (APRN)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:KAY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:KAY
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:8704 THORNBROOK TERRACE PT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-4881
Mailing Address - Country:US
Mailing Address - Phone:561-502-4378
Mailing Address - Fax:
Practice Address - Street 1:8704 THORNBROOK TERRACE PT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-4881
Practice Address - Country:US
Practice Address - Phone:561-502-4378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3110362363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care