Leake, Leanna

Leake, Leanna is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leake, Leanna can be contacted via phone (573) 221-5250.

Contact Information

Primary practice address
100 Medical Dr Hannibal MO 63401-6877
Phone: (573) 221-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 113731 Missouri

Profile Details

NPI number 1386750032
LBN Legal business name Leake, Leanna
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Mar 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386750032 NPPES
Missouri MEDICAID 427787262

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