Individual provider · Type 1 NPI
Gail Ruth Leslie, CPNP
Pediatric Nurse Practitioner · Fort Benning, GA
NPI number
1861578858
Active
Practice location
7956 Martin Loop
Fort Benning, GA 31905-5273
Fax (706) 544-3950
Mailing address
7401 Blackmon Rd, Apt 4104
Columbus, GA 31909-4489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN072138 (GA) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Fort Benning
About NPI 1861578858
Gail Ruth Leslie, CPNP's National Provider Identifier is 1861578858, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Benning, GA. The record was last updated on Jul 9, 2007.