Individual
MRS. LESLIE NICOLE SPEEGLE BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 DANA RD, WARRIOR, AL 35180-1420
(205) 647-6333
(205) 647-8666
Mailing address
100 DANA RD, WARRIOR, AL 35180-1420
(205) 647-6333
(205) 647-8666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-153505
AL
Other
Enumeration date
02/13/2019
Last updated
04/16/2019
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