| Doctor Name: | EMILY LEINENBACH |
| NPI Number: | 1073925095 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 28190524A |
| Business Practice Address: | 440 Scott Rolen Dr Jasper, IN - 475462700 |
| Business Phone Number: | 8124825656 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1028, JASPER |
| State: | IN |
| Postal Code: | 475471028 |
| Phone Number: | 8129961088 |
| Fax Number: | 8129968497 |
| NPI Enumeration Date: | 05/26/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 28190524A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |