Blue, Leisa Jan

Blue, Leisa Jan is an individual health care provider with primary practice located at 55 Nesbit Dr , Bonne Terre MO 63628-1353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blue, Leisa Jan can be contacted via phone (573) 358-1480.

Contact Information

Primary practice address
55 Nesbit Dr Bonne Terre MO 63628-1353
Phone: (573) 358-1480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 089876 Missouri

Profile Details

NPI number 1851342950
LBN Legal business name Blue, Leisa Jan
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Nov 26th, 2007 - about 19 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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