Individual
LEESA ANN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(334) 207-7795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-143912
AL
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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