Look up the most recent NPI and PECOS records

Leslie Sledge Guillory

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

630 W 34th St Ste 301, Austin, TX 78705-1217

(512) 212-4670 (512) 963-2089

PECOS Enrollment

This provider is enrolled in PECOS as LESLIE GUILLORY.

Based on the most recent information from CMS, provider Leslie Sledge Guillory is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1669190302
Provider Type
Individual
Full Name
Guillory, Leslie Sledge
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/18/2022
Last Updated
8/18/2022

Contact Information

Practice Location

630 W 34th St Ste 301, Austin, TX 78705-1217

(512) 212-4670

Unlisted Fax

Mailing Location

15601 Ecorio Dr, Austin, TX 78728-3543

(512) 963-2089

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1090301 Texas

Leslie Sledge Guillory

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gutierrez, Jaclyn Rene

Wills, Jessica

Hall, Kimberly Erin Garrett

Andrus, Carol

Cavendish, Sophie M

Frank, Jill Renee

Gibson, Hayli Brooke

Baban, Hawelan

Jones, Mary Moore

Davis, Stephanie Kay