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Mrs. Leslie Bodo, FNP-BC
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1275050627

Leslie Bodo is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Leslie Bodo practices in Johnson City, TN and has the professional credentials of FNP-BC. The NPI Number for Leslie Bodo is 1275050627 and holds a License No. 22918 (Tennessee).

The current practice location address for Leslie Bodo is 400 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-323-6900.

Location: 400 N State Of Franklin Rd, Johnson City, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275050627
Provider Name
Leslie Bodo
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
400 N State Of Franklin Rd, Johnson City, TN, 37604-2192
Phone Number
423-323-6900
Fax Number
Provider Enumeration Date
08/26/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22918 01 TN LICENSE
institution
Provider Business Practice Location Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-323-6900
Fax Number
person
Provider Business Mailing Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-323-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22918 (Tennessee)
Definition
Definition to come...
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