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NPI Code Detail

MEDICARE: LESLIE DAWN MARSHALL FNP-BC

MEDICARE:   LESLIE DAWN MARSHALL  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2023204768VA

General Provider Information

NPI Number : 1356106462
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE DAWN MARSHALL FNP-BC
Provider Business Mailing Address
First Line : 2400 LEE HWY N
Second Line :
City : PULASKI
State : VA
Zip : 24301-2326
Country : US
Telephone Number : 540-994-9100
Fax Number :
Provider Business Practice Location Address
First Line : 2400 LEE HWY N
Second Line :
City : PULASKI
State : VA
Zip : 24301-2326
Country : US
Telephone Number : 540-994-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 02/05/2026

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Directions to “ LESLIE DAWN MARSHALL FNP-BC” Practice Location

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