Individual
MRS. LESLIE MICHELE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2485 E WABASH ST STE 110, FRANKFORT, IN 46041-9400
(765) 659-7400
(765) 659-7408
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28215572A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007944A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013177
—
IN
Enumeration date
03/27/2018
Last updated
04/30/2024
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