Individual
JACQUELYN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-9380
Mailing address
143 BROOKVIEW LN, MIDDLETOWN, CT 06457-2125
(203) 464-5083
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5670
CT
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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