Individual
LESLIE NICOLE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2550 SIMPSON RD, KISSIMMEE, FL 34744-4637
(407) 348-0990
(407) 944-9041
Mailing address
23 E BYRD RD, HARTSELLE, AL 35640-8129
(256) 751-0741
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11004147
FL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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