Individual
LEANORAH SMICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN PMHNP-BC
Contact information
Practice address
93 W MAIN ST, PORT JERVIS, NY 12771-1014
(646) 641-3908
Mailing address
93 W MAIN ST, PORT JERVIS, NY 12771-1014
(845) 754-4710
(845) 754-4710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F408050-01
NY
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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