Individual
LEONCIA KAYE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
303 E BASELINE RD, PHOENIX, AZ 85042-6530
(602) 243-7277
Mailing address
303 E BASELINE RD, PHOENIX, AZ 85042-6530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183901
CT
163W00000X
Registered Nurse
352483
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
297308
AZ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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