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Individual

MRS. CODI DANIELLE LEGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304-2821
(936) 441-9680
(936) 539-9685
Mailing address
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304-2821
(936) 441-9680
(936) 539-9680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139200
TX

Other

Enumeration date
10/19/2018
Last updated
04/23/2021
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