Individual
LEANNA LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113731
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427787262
—
MO
Enumeration date
08/22/2006
Last updated
03/04/2021
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