Most Relevant Information
Provider Data
| NPI Number: | 1003457029 |
| Provider Name: | LESLEY LYNNE NAIRN CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | AP143248 |
Most Important Dates
| Enumeration Date: | 10/01/2019 |
| Last Updated: | 10/01/2019 |
Provider Practice Location
207 THAT WAY ST STE A-1
LAKE JACKSON
TX
775665211
Practice Location Phone/Fax
| Phone: | 9792977337 |
| Fax: | 9792669076 |
Provider Mailing Location
205 JEFFERSON ST
CLUTE
TX
775311489
Provider Mailing Phone/Fax
| Phone: | 9797998717 |
| Fax: |