Individual
JENNIFER LEASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
Mailing address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
13-110294-122
KS
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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