Provider Demographics
NPI:1043548357
Name:ATKINSON, LEAH CHRISTINE (APRN-CNP)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:CHRISTINE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:CHRISTINE
Other - Last Name:SEABOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:3415 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1334
Mailing Address - Country:US
Mailing Address - Phone:304-388-8380
Mailing Address - Fax:304-388-8395
Practice Address - Street 1:3415 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1334
Practice Address - Country:US
Practice Address - Phone:304-388-8380
Practice Address - Fax:304-388-8395
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN36452-FNP-BC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily