Leonard, Mandy

Leonard, Mandy is an individual health care provider with primary practice located at 505 E Matthews Ave , Jonesboro AR 72401-3144. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Leonard, Mandy can be contacted via phone (870) 207-7826.

Contact Information

Primary practice address
505 E Matthews Ave Jonesboro AR 72401-3144
Phone: (870) 207-7826
Fax: (870) 207-0524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X R093506 Arkansas

Profile Details

NPI number 1184114928
LBN Legal business name Leonard, Mandy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated Jun 16th, 2018 - about 7 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 1184114928 NPPES
Arkansas Other R093506 ARKANSAS STATE BOARD OF NURSING

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