Individual
MRS. JACLYN MELISSA LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-7020
Mailing address
300 ADAMS ST, APT 510, HOBOKEN, NJ 07030-2631
(201) 491-3449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116687
FL
363AM0700X
Medical Physician Assistant
25MP00188300
NJ
Other
Enumeration date
01/22/2008
Last updated
05/04/2026
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