Leger, Jettie D

Leger, Jettie D is an individual health care provider with primary practice located at 2090 S Ohio St , Salina KS 67401-6702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leger, Jettie D can be contacted via phone (785) 825-8221.

Contact Information

Primary practice address
2090 S Ohio St Salina KS 67401-6702
Phone: (785) 825-8221
Fax: (785) 452-7530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-79631-101 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-79631 Kansas

Profile Details

NPI number 1659983575
LBN Legal business name Leger, Jettie D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2020
Last updated Sep 16th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659983575 NPPES
Kansas MEDICAID 30004725230001

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