Healthcare Provider Details

I. General information

NPI: 1013842020
Provider Name (Legal Business Name): LESLI ANN SLONE APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 MACCORKLE AVE SE FL 3
CHARLESTON WV
25304-1334
US

IV. Provider business mailing address

3415 MACCORKLE AVE SE FL 3
CHARLESTON WV
25304-1334
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-2476
  • Fax: 304-388-0587
Mailing address:
  • Phone: 304-388-2476
  • Fax: 304-388-0587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number126915
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: