Individual provider · Type 1 NPI

Leslie Fannin

Family Nurse Practitioner · Ashland, KY

NPI number 1356215396 Active

Practice location

613 23rd St Ste 340
Ashland, KY 41101-2879

Mailing address

PO Box 2379
Ashland, KY 41105-2379

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4047191 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1356215396

Leslie Fannin's National Provider Identifier is 1356215396, issued on Oct 2, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ashland, KY. The record was last updated on Dec 22, 2025.