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NPI Code Detail

MEDICARE: LESLIE JENIENE KIMZEY

MEDICARE:   LESLIE JENIENE KIMZEY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11045970FL

General Provider Information

NPI Number : 1174466825
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE JENIENE KIMZEY
Provider Business Mailing Address
First Line : 426 BRUSHED DUNES CIR
Second Line :
City : FREEPORT
State : FL
Zip : 32439-6265
Country : US
Telephone Number : 850-333-0808
Fax Number :
Provider Business Practice Location Address
First Line : 426 BRUSHED DUNES CIR
Second Line :
City : FREEPORT
State : FL
Zip : 32439-6265
Country : US
Telephone Number : 850-333-0808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ LESLIE JENIENE KIMZEY ” Practice Location

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