Individual
JILL ELIZABETH LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
418 WEST MONROE AVENUE, CHESTER, MT 59522
(406) 759-5194
(406) 759-5105
Mailing address
PO BOX 705, CHESTER, MT 59522-0705
(406) 759-5194
(406) 759-5105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005862
GA
363A00000X
Physician Assistant
PA2985
KY
363A00000X
Physician Assistant
Primary
PA9114533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005862
GEORGIA LICENSE
GA
Enumeration date
07/07/2010
Last updated
10/20/2022
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