Individual
JASON EDWARD LEFFEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-4331
(937) 522-7513
Mailing address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4024
(937) 702-4035
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.025093
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN.CNP.025093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365887
—
OH
Enumeration date
08/22/2019
Last updated
01/18/2021
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