| NPI | 1518425099 |
|---|---|
| Former Name | JOSIE JEAN LEATHERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009903A) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH RN.229957) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-03-09 |