Leise, Jody

Leise, Jody is an individual health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Leise, Jody can be contacted via phone (651) 345-6711.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-6711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 24 Minnesota

Profile Details

NPI number 1346951233
LBN Legal business name Leise, Jody
Credentials APRN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 2 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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