Most Relevant Information
Provider Data
| NPI Number: | 1003462557 |
| Provider Name: | STEPHANIE LYNN LEGG APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 104224 |
Most Important Dates
| Enumeration Date: | 08/12/2019 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
2345 CHESTERFIELD AVE STE 302
CHARLESTON
WV
253041064
Practice Location Phone/Fax
| Phone: | 6812058610 |
| Fax: | 6812058615 |
Provider Mailing Location
2345 CHESTERFIELD AVE STE 302
CHARLESTON
WV
253041064
Provider Mailing Phone/Fax
| Phone: | 6812058610 |
| Fax: | 6812058615 |