Individual
MRS. JESSICA DANIELLE LEAVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1050 BOWER HILL RD STE 105, PITTSBURGH, PA 15243-1866
(412) 942-7262
(412) 942-7397
Mailing address
1000 BOWER HILL ROAD, ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN, PITTSBURGH, PA 15243-1873
(412) 942-2548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA05917
PA
Other
Enumeration date
10/02/2015
Last updated
04/19/2021
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