Individual
LESLIE NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22601 U.S. HWY 190, ROBERT, LA 70455
(985) 542-2466
Mailing address
PO BOX 2162, MANDEVILLE, LA 70470-2162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224269
LA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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