Individual
MRS. LESLIE ELAINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1130 S VETERANS PKWY, BLOOMINGTON, IL 61704-7117
(309) 661-1839
Mailing address
1130 S VETERANS PKWY, BLOOMINGTON, IL 61704-7117
(309) 661-1839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016394
IL
363LF0000X
Family Nurse Practitioner
209016394
IL
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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