Individual
JENNIFER LEE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP3072012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306771800
—
FL
Enumeration date
09/05/2007
Last updated
05/24/2023
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