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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE MARVENE GALLON

Active Sole Proprietor

LESLIE MARVENE GALLON is a Pediatric Nurse Practitioner healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1235583246 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · FORT CAMPBELL, KY

Registration Details

NPI Number
1235583246
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2016 (10.297296745853 yrs)
Last Updated
Sep 8, 2020
License
2016000618 (MO)
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2704612868
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in FORT CAMPBELL, KY

Name Credential NPI
TIARA WRIGHT PNP 1578922811
ELIZABETH FRAZIER SCHEANON CPNP-PC 1477270163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.