location
search-icon
person
Leslie M. Carmack, APN
Nurse Practitioner in Bloomington, Illinois
NPI 1073760716

Leslie M. Carmack is a Nurse Practitioner based in Bloomington, IL. Leslie M. Carmack practices in Bloomington, IL and has the professional credentials of APN. The NPI Number for Leslie M. Carmack is 1073760716 and holds a License No. 209-007212 (Illinois).

The current practice location address for Leslie M. Carmack is 1701 E College Ave, Bloomington, IL and can be reached out via phone at 309-664-3800 and via fax at 309-664-3461.

Location: 1701 E College Ave, Bloomington, IL, 61704-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073760716
Provider Name
Leslie M. Carmack
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1701 E College Ave, Bloomington, IL, 61704-2101
Phone Number
309-664-3800
Fax Number
309-664-3461
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
IL2613 01 IL MEDICARE GROUP PTAN
IL2613053 01 IL INDIVIDUAL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1701 E College Ave
City
Bloomington
State
Illinois
Zip
61704-2101
Phone Number
309-664-3800
Fax Number
309-664-3461
person
Provider Business Mailing Address Details
Address
1701 E College Ave
City
Bloomington
State
Illinois
Zip
61704-2101
Phone Number
309-664-3800
Fax Number
309-664-3461
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209-007212 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.