Leak-Gillispie, Jacquelyn M

Leak-Gillispie, Jacquelyn M is an individual health care provider with primary practice located at 920 Church St N , Concord NC 28025-2927. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Leak-Gillispie, Jacquelyn M can be contacted via phone (704) 403-1430.

Contact Information

Primary practice address
920 Church St N Concord NC 28025-2927
Phone: (704) 403-1430
Fax: (704) 403-1158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 5002506 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5002506 North Carolina

Profile Details

NPI number 1831255330
LBN Legal business name Leak-Gillispie, Jacquelyn M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 22nd, 2023 - about 3 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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