Individual
JESSICA SHANNON LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(800) 947-2323
Mailing address
1091 THORNDALE CIR, PROSPER, TX 75078-9200
(623) 229-3139
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2255
TX
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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