Individual
EMILY LEINENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
440 SCOTT ROLEN DR, JASPER, IN 47546-2700
(812) 482-5656
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-1088
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190524A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71005075A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28190524A
IN
Other
Enumeration date
05/26/2014
Last updated
09/02/2014
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