Individual
JEANNE LEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP, IBCLC
Contact information
Practice address
6560 PLEASANTVIEW DR, PORTAGE, MI 49024-1035
(269) 370-1598
Mailing address
6560 PLEASANTVIEW DR, PORTAGE, MI 49024-1035
(269) 370-1598
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704158197
MI
Other
Enumeration date
08/24/2006
Last updated
02/19/2013
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