Provider Demographics
NPI:1326541780
Name:ACTON, LESLIE S (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:S
Last Name:ACTON
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:835 SWEITZER ST
Mailing Address - Street 2:ATTN CHERYL JENNINGS
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331
Mailing Address - Country:US
Mailing Address - Phone:937-569-6937
Mailing Address - Fax:937-569-6297
Practice Address - Street 1:828 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1206
Practice Address - Country:US
Practice Address - Phone:937-569-6996
Practice Address - Fax:937-569-6079
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2022-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily