Individual
LESLIE DIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
138 ROCKDALE RD, FOLLANSBEE, WV 26037-1658
(304) 527-1747
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN.251754
OH
Other
Enumeration date
04/19/2018
Last updated
12/15/2020
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