Individual
JAMIE DIANE LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ARNP
Contact information
Practice address
1634 E 63RD ST, KANSAS CITY, MO 64110-3502
(816) 381-5648
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(816) 381-5648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2008030034
MO
363LF0000X
Family Nurse Practitioner
53-75231-041
KS
Other
Enumeration date
11/11/2010
Last updated
08/28/2024
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