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NPI Code Detail

MEDICARE: CHRISTINE LEGGETT FNP

MEDICARE: CHRISTINE LEGGETT FNP
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 Practitioner242172LA

General Provider Information

NPI Number : 1356239180
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LEGGETT FNP
Provider Business Mailing Address
First Line : 115 STONEBURG DR
Second Line :
City : DUSON
State : LA
Zip : 70529-3946
Country : US
Telephone Number : 337-288-8552
Fax Number :
Provider Business Practice Location Address
First Line : 121 E SAINT VICTOR ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5120
Country : US
Telephone Number : 337-893-0810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 10/20/2025

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