Individual
JANICE ELAINE LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC, AOCN
Contact information
Practice address
8111 S EMERSON AVE, SUITE 101, INDIANAPOLIS, IN 46237-8601
(317) 859-5252
(317) 859-5258
Mailing address
8111 S EMERSON AVE, SUITE 101, INDIANAPOLIS, IN 46237-8601
(317) 859-5252
(317) 859-5258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003236A
IN
Other
Enumeration date
05/26/2010
Last updated
08/23/2012
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