Isis Leonard, STUDENT

NPI #1811881097 in Jefferson City, Tennessee

Provider Information

NPI Number: 1811881097
Entity Type: Individual
Name: Isis Leonard, STUDENT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 1646 RUSSELL AVE
City: Jefferson City
State: Tennessee
ZIP Code: 37760-2204
Phone: (865) 471-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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