Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Marvene Gallon

Individual provider Pediatric Nurse Practitioner · NPI 1235583246

Leslie Marvene Gallon is a Pediatric Nurse Practitioner in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 461-2868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2016000618 (MO)

Record details

NPI number1235583246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2016
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

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