Mrs Wilma Leslie, FNPC | |
24 Left Penhook Rd, Harold, KY 41635-7064 | |
(606) 478-8787 | |
(606) 478-4801 |
Full Name | Mrs Wilma Leslie |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 24 Left Penhook Rd, Harold, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265579239 | NPI | - | NPPES |
78001898 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2346P (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3002346 (Kentucky) | Primary |
Entity Name | Appalachian Community Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558750406 PECOS PAC ID: 8628484367 Enrollment ID: O20210304001368 |
Mailing Address | Practice Location Address |
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Mrs Wilma Leslie, FNPC Po Box 406, Prestonsburg, KY 41653-0406 Ph: (606) 478-8787 | Mrs Wilma Leslie, FNPC 24 Left Penhook Rd, Harold, KY 41635-7064 Ph: (606) 478-8787 |
Ms. Julia Johnstone, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Left Penhook Rd, Harold, KY 41635 Phone: 606-478-8787 | |
Bonnie Marie Ferguson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Left Penhook Rd, Harold, KY 41635 Phone: 606-478-8787 Fax: 606-478-4801 |