Individual provider · Type 1 NPI
Leslie Marvene Gallon
Pediatric Nurse Practitioner · Fort Campbell, KY
NPI number
1235583246
Active
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2016000618 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235583246
Leslie Marvene Gallon's National Provider Identifier is 1235583246, issued on Apr 15, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Campbell, KY. The record was last updated on Sep 8, 2020.