# MRS. LESLIE H. JUSTICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194708826
- **Gender:** F
- **Credential:** CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | NP-02176 | OH | — |
| 363LP2300X | Primary Care Nurse Practitioner | APRN.CNP.02176 | OH | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 03/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3030311 | — | OH |
| 01 | — | H189240 | CGS MEDICARE | OH |