Individual
JENNIFER GIBSON LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
656 CARPENTER AVE, MOORESVILLE, NC 28115-2538
(704) 664-5133
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016437
NC
Other
Enumeration date
07/06/2022
Last updated
09/16/2022
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