| Mrs Wilma Leslie, FNPC | |
|
24 Left Penhook Rd, Harold, KY 41635-7064 | |
| (606) 478-8787 | |
| (606) 478-4801 |
| Full Name | Mrs Wilma Leslie |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841952892 PECOS PAC ID: 8628484367 Enrollment ID: O20210304001368 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |