Leon Carroll Coody JR., FNP

NPI #1881102168 in Goshen, Indiana

Provider Information

NPI Number
1881102168
Entity Type
Individual
Name
Leon Carroll Coody JR., FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Jan 20, 2018
Last Updated
Aug 8, 2023

Practice Location

Address
200 HIGH PARK AVE
City
Goshen
State
Indiana
ZIP Code
46526-4810
Phone
(574) 364-2673

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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