Individual
JESSIE FUENTES LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1401 ROOSEVELT AVE, YORK, PA 17404
(717) 812-7000
(717) 767-8985
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R205536
MD
363LF0000X
Family Nurse Practitioner
SP013065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002240
HIGHMARK BLUE SHIELD-FREEDOM BLUE
PA
Enumeration date
08/12/2013
Last updated
08/18/2023
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