Individual
MISS LISA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8911
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000153592
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000153592
NURSING LICENSE
TN
Enumeration date
02/13/2009
Last updated
02/13/2009
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