Individual
LESLIE PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 1ST ST N, ALABASTER, AL 35007-8703
(205) 620-8547
Mailing address
PO BOX 130, WETUMPKA, AL 36092-0003
(334) 514-3821
(334) 514-3686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-124784
AL
Other
Enumeration date
10/27/2015
Last updated
12/08/2020
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