Individual
MS. LEISA JAMINE HOSPEDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
135 E 1ST ST, LAKELAND, FL 33805-4609
(863) 686-2728
(863) 686-6737
Mailing address
15118 EVANS RANCH RD, LAKELAND, FL 33809-9714
(863) 510-8225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11021939
FL
Other
Enumeration date
10/24/2022
Last updated
08/28/2023
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