Healthcare Provider Details

I. General information

NPI: 1255655155
Provider Name (Legal Business Name): LESLIE DENISE PINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE SIMMONS APRN

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N EAGLE CREEK DR STE 400
LEXINGTON KY
40509-2124
US

IV. Provider business mailing address

1221 S BROADWAY
LEXINGTON KY
40504-2701
US

V. Phone/Fax

Practice location:
  • Phone: 859-258-5220
  • Fax: 859-258-5405
Mailing address:
  • Phone: 859-258-6200
  • Fax: 859-258-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number3006407
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number3006407
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: