Healthcare Provider Details

I. General information

NPI: 1669264859
Provider Name (Legal Business Name): LEIGHTON ALEXANDRA TERRELL DNP, FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 8TH ST STE 380W
MURRAY KY
42071-2442
US

IV. Provider business mailing address

803 POPLAR ST
MURRAY KY
42071-2432
US

V. Phone/Fax

Practice location:
  • Phone: 270-753-0704
  • Fax: 270-752-2852
Mailing address:
  • Phone: 270-762-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4041204
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: