Individual ProviderDebra L LesslieNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address347 North Smith Avenue, 70-505, Children'S Specialty Clinic Nicu, St. Paul, MN 55102(651) 220-6210(651) 855-2327PECOS EnrollmentBased on the most recent information from CMS, provider Debra L Lesslie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1346434461Provider TypeIndividualFull NameLesslie, Debra LCredentialCNNPGenderFemaleSole ProprietorNoEnumeration Date8/31/2007Last Updated9/15/2011Contact InformationPractice LocationPractice Address347 North Smith Avenue, 70-505, Children'S Specialty Clinic Nicu, St. Paul, MN 55102Phone(651) 220-6210Fax(651) 220-7777Mailing LocationMailing Address2910 Centre Pointe Dr, Mail Stop 35-121a, Roseville, MN 55113-1182Phone(651) 855-2327Fax(651) 855-2310Provider TaxonomiesCodeDescriptionLicenseCode363LN0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR1583270MinnesotaCode363LN0005XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR1583270Minnesota