Charteshia T Leonard
Licensed Practical Nurse in East Palatka, FL. Individual provider (NPI-1).
NPI number1013597772
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1013597772
- Entity type
- Individual (NPI-1)
- Name
- Ms. Charteshia T Leonard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2021
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5243094 | FL | Yes |
| 376K00000X | Nurse's Aide | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
110 Sweetgum RdEast Palatka, FL 32131-4203
Phone 386-538-4620
Mailing address
110 Sweetgum RdEast Palatka, FL 32131-4203
Phone 386-538-4620
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