Doctor Name: | JESSICA MARIA LEIGHTON |
NPI Number: | 1962837005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, MSN, FNP-C |
License Number: | 725591 |
Business Practice Address: | 105 E Hackberry St Ste B Pearsall, TX - 780614412 |
Business Phone Number: | 8303342002 |
Business Fax Number: | 8303345549 |
Mailing Address: | 105 E Hackberry St, Ste B PEARSALL |
State: | TX |
Postal Code: | 780614412 |
Phone Number: | 8303342002 |
Fax Number: | 8303345549 |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 725591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |