Individual
MRS. LESLIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8842
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20820
TN
363LA2200X
Adult Health Nurse Practitioner
3008762
KY
363LW0102X
Women's Health Nurse Practitioner
3008762
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3008762
KY
Other
Enumeration date
12/05/2014
Last updated
02/24/2025
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