Peacock Smith, Leandra

Peacock Smith, Leandra is an sole proprietor health care provider with primary practice located at 902 Preskitt Rd Ste 200 , Decatur TX 76234-4121. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peacock Smith, Leandra can be contacted via phone (940) 626-1848.

Contact Information

Primary practice address
902 Preskitt Rd Ste 200 Decatur TX 76234-4121
Fax: (940) 626-1849
Website:

Profile Details

NPI number 1619477981
LBN Legal business name Peacock Smith, Leandra
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2018
Last updated Dec 9th, 2025 - about last year

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 1619477981 NPPES
Texas Other PENDING BCBS
Texas MEDICAID PENDING BCBS

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