# MRS. LESLEE ELLEN CARNEAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174897466
- **Gender:** F
- **Credential:** RNFNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2012006267 | MO | — |
| 363L00000X | Nurse Practitioner | 75962 | KS | Yes |

## Other

- **Enumeration date:** 03/04/2012
- **Last updated:** 02/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 177089466 | — | MO |
| 05 | — | 200975630A | — | MO |
| 05 | — | 200975630B | — | KS |
| 01 | — | P01193398 | RR MEDICARE | MO |