Individual
LEASA ELIZABETH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23 GOLDENROD LN, CENTERVILLE, MA 02632-2043
(407) 733-8744
Mailing address
23 GOLDENROD LN, CENTERVILLE, MA 02632-2043
(407) 733-8744
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN2272353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2272353
RN
MA
Enumeration date
03/27/2019
Last updated
03/27/2019
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