Individual
DONNA MARIE LEISCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE PRAC
Contact information
Practice address
345 W STATE ST, JACKSONVILLE, IL 62650-2093
(217) 245-5111
(217) 243-4773
Mailing address
345 W STATE ST, JACKSONVILLE, IL 62650-2093
(217) 245-5111
(217) 243-4773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.001853
IL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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