Individual
MRS. JESSICA MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
1401 PROFESSIONAL BLVD, SUITE 200, EVANSVILLE, IN 47714-8011
(812) 469-3703
Mailing address
140 WHITTINGTON PKWY, STE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001623A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001623A
IN
Other
Enumeration date
04/25/2007
Last updated
06/27/2017
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