Individual
JESSA MCKENZIE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1680 MEDITERRANEAN DR, SYCAMORE, IL 60178-3154
(815) 899-0001
(815) 899-0002
Mailing address
1680 MEDITERRANEAN DR, SYCAMORE, IL 60178-3154
(815) 899-0001
(815) 899-0002
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209009458
IL
Other
Enumeration date
06/05/2012
Last updated
02/13/2025
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