Individual
LESLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 N MAIN ST, MADISONVILLE, KY 42431-1282
(270) 245-2554
Mailing address
9 E ARCH ST, MADISONVILLE, KY 42431-2063
(888) 501-9865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016820
KY
Other
Enumeration date
10/11/2021
Last updated
01/31/2023
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