Individual
LEIGHANN JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3121
Mailing address
3427 NW 81ST LN, ANKENY, IA 50023-9622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165253
IA
163WC0200X
Critical Care Medicine Registered Nurse
165253
IA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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