Individual
JENNIFER KAY LEAK
Active
Individual
JENNIFER KAY LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN0000134497
TN
Other
Enumeration date
08/27/2007
Last updated
03/08/2012
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