Individual
MRS. JAYNE B LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HOSPITAL AVE STE 7, JEFFERSON, NC 28640-9244
(336) 846-7238
(336) 846-2117
Mailing address
200 HOSPITAL AVE STE 7, JEFFERSON, NC 28640-9244
(336) 846-7238
(336) 846-2117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34513
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19891
BCBS
NC
01
—
562261381D
CIGNA
NC
05
—
8919891
—
NC
Enumeration date
06/07/2006
Last updated
03/02/2009
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