Leisa Dawn Blanchard, FNP-C
Nurse Practitioner, Family in Lockwood, MO. Individual provider (NPI-1).
NPI number1861693640
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1861693640
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leisa Dawn Blanchard
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2015034072 | MO | Yes |
| 163WD0400X | Registered Nurse, Diabetes Educator | 142484 | MO |
Practice location
1307 S Main StLockwood, MO 65682-8327
Phone 417-232-4560 · Fax 417-232-4611
Mailing address
Po Box 505164Saint Louis, MO 63150-5164
Phone 417-829-4620 · Fax 417-829-4316
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Other Family Nurse Practitioner providers in Lockwood, MO
- Kelbey Lee Bowles, NPNPI 1841947934
- Ashley Corine Dawson, NP-CNPI 1356097455
- Carrie L Lucas, FNPNPI 1841538287
- Kara Morgan, NPNPI 1720555683
- Kenyon Michelle Singer, FNP-NCNPI 1447816855
All 6 Family Nurse Practitioner providers in Lockwood · All 21 providers in Lockwood
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