Doctor Name: | MRS. LESLIE DENISE SIMMONS |
NPI Number: | 1255655155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3006407 |
Business Practice Address: | 1858 Old Lebanon Rd Campbellsville, KY - 427189663 |
Business Phone Number: | 2704694496 |
Business Fax Number: | 2704690095 |
Mailing Address: | 1858 Old Lebanon Rd, CAMPBELLSVILLE |
State: | KY |
Postal Code: | 427189663 |
Phone Number: | 2704694496 |
Fax Number: | 2704690095 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SW0102X |
License Number: | 3006407 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |