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NPI 1972768422 · live from the CMS NPI Registry

Leslie Brooke Caughron, APRN

Nurse Practitioner, Pediatrics in Shepherdsville, KY. National Provider Identifier 1972768422, active.

NPI record

NPI1972768422 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1707 Cedar Grove Rd Ste 20, Shepherdsville, KY 40165
Practice phone502-215-5090
Mailing addressPo Box 909, Louisville, KY 40201
EnumeratedJuly 24, 2008
Last updatedApril 6, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family363LF0000X3005509 (KY)
Nurse Practitioner, Pediatrics primary363LP0200X3005509 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.