Individual
LESLIE SARA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N. P.
Contact information
Practice address
8601 HIGHWAY 217, MIRACLE, KY 40856-9096
(606) 337-5150
Mailing address
8601 HIGHWAY 217, MIRACLE, KY 40856-9096
(606) 337-5150
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
3007327
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
3007327
KY
Other
Enumeration date
05/28/2012
Last updated
08/10/2012
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