Individual
LESLIE ANN PENNISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8025 ARDREY KELL RD STE 103, CHARLOTTE, NC 28277-5730
(704) 641-3487
Mailing address
1824 MILL CHASE LN, WAXHAW, NC 28173-6947
(704) 641-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022313
NC
Other
Enumeration date
06/18/2025
Last updated
05/25/2026
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