Individual
MRS. JESSICA ANN LEICHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704352043
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704352043
MI
Other
Enumeration date
04/30/2020
Last updated
03/06/2024
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