Individual
GENNIFER LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 RUSH ST, LEXINGTON, TN 38351-2241
(731) 968-8148
Mailing address
90 RUSH ST, LEXINGTON, TN 38351-2241
(731) 968-8148
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
111540
TN
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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