Individual
CARLEE NICOLE LEOPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25769
SC
363LP0200X
Pediatric Nurse Practitioner
RN231767
GA
Other
Enumeration date
09/11/2017
Last updated
12/03/2022
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