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Individual

JENNIFER BROWN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2235 E GALA ST, MERIDIAN, ID 83642-8026
(208) 887-3724
Mailing address
2235 E GALA ST, MERIDIAN, ID 83642-8026
(208) 887-3724

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
N-36631
ID
363L00000X
Nurse Practitioner
Primary
NP-1577A
ID

Other

Enumeration date
04/30/2012
Last updated
07/22/2019
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