Provider Demographics
NPI:1811155435
Name:COVINGTON, BANJUL LESHEILA (FNP)
Entity type:Individual
Prefix:MS
First Name:BANJUL
Middle Name:LESHEILA
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:131 SAUNDERSVILLE RD
Mailing Address - Street 2:STE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8903
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:615-452-8545
Practice Address - Street 1:6570 STAGE RD
Practice Address - Street 2:STE 160
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2839
Practice Address - Country:US
Practice Address - Phone:901-205-0182
Practice Address - Fax:901-672-8941
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN12692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily