Individual
LESLIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1112 S MAIN ST, FRANKLIN, KY 42134-2322
(270) 781-5111
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3019125
KY
Other
Enumeration date
03/08/2023
Last updated
05/14/2024
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