Individual
MS. LESLEY JO ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1640 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 496-3285
(812) 537-0400
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005659
KY
363L00000X
Nurse Practitioner
Primary
71015390A
IN
363LF0000X
Family Nurse Practitioner
3005659
KY
363LF0000X
Family Nurse Practitioner
COA.10389-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100098260
—
KY
Enumeration date
09/25/2008
Last updated
07/18/2024
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