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Individual

MRS. JENNIFER LYNN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
600 MAPLE ST, ATLANTIC, IA 50022-1553
(160) 526-1450
Mailing address
600 MAPLE ST, ATLANTIC, IA 50022-1553
(712) 249-4910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
115179
NE
363L00000X
Nurse Practitioner
454
SD
363L00000X
Nurse Practitioner
Primary
A120565
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6829760
SD
05
6829762
SD
05
6829763
SD
05
6829764
SD
Enumeration date
08/31/2006
Last updated
11/20/2024
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