| Doctor Name: | MRS. LESLIE JO KING |
| NPI Number: | 1518238351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 16147 |
| Business Practice Address: | 2239 Highway 41 S Ste B Greenbrier, TN - 370734536 |
| Business Phone Number: | 6156430212 |
| Business Fax Number: | 6156437572 |
| Mailing Address: | 2239 Highway 41 S Ste B, GREENBRIER |
| State: | TN |
| Postal Code: | 370734536 |
| Phone Number: | 6156430212 |
| Fax Number: | 6156437572 |
| NPI Enumeration Date: | 01/25/2012 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 16147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |