Jessica Lynn Leslie, RD | |
1840 E Broadway Rd, Tempe, AZ 85282-1614 | |
(602) 243-7277 | |
Not Available |
Full Name | Jessica Lynn Leslie |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1840 E Broadway Rd, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164902011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Mountain Park Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
Mailing Address | Practice Location Address |
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Jessica Lynn Leslie, RD 9240 E Camino Del Santo, Scottsdale, AZ 85260-4351 Ph: (480) 330-7019 | Jessica Lynn Leslie, RD 1840 E Broadway Rd, Tempe, AZ 85282-1614 Ph: (602) 243-7277 |
Tracey A. Grant, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 E Wesleyan Dr, Tempe, AZ 85282 Phone: 817-905-6467 | |
Vivianne Swart, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 W Elliot Rd, Suite 201, Tempe, AZ 85284 Phone: 480-303-0844 | |
Kelly Lynne Peper, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-243-7277 | |
Ambar Yudell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans Way, Tempe, AZ 85287 Phone: 847-722-3821 | |
Kirsten Wassum, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1492 S Mill Ave, Suite 312, Tempe, AZ 85281 Phone: 602-243-7277 Fax: 480-927-1092 | |
Tana D Ingram, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 480-495-0314 | |
Kali Renea Gallaher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 S Mcclintock Dr Apt 1086, Tempe, AZ 85282 Phone: 614-205-7148 |