Wilma Leslie, FNPC

Individual provider Active NPI Family Nurse Practitioner · Harold, KY

NPI 1265579239 · NPPES record last updated Sep 25, 2014

Key facts

NPI
1265579239
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3002346 (KY)
Practice address
24 Left Penhook Rd
Harold, KY 41635-7064
Phone
(606) 478-8787
Fax
(606) 478-4801
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2346PKYMDFamily Nurse Practitioner
3002346KYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2346P KY
Family Nurse Practitioner 363LF0000X 3002346 KY Yes

Addresses

Primary practice location

24 Left Penhook Rd
Harold, KY 41635-7064

Mailing address

PO Box 406
Prestonsburg, KY 41653-0406
Phone (606) 478-8787

Other identifiers

IdentifierTypeStateIssuer
78001898MedicaidKY

Other providers in Harold, KY

All providers in Harold, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.