Individual
CANDICE S LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
121 WATTS ST, JONESBORO, LA 71251-2062
(318) 259-5080
(318) 259-5652
Mailing address
121 WATTS ST, JONESBORO, LA 71251-2062
(318) 259-5080
(318) 259-5652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08298
LA
Other
Enumeration date
06/24/2015
Last updated
04/29/2021
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