DEANNA A LEEDOM

JACKSONVILLE, FL
NPI1639147978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP211934)
Enumeration Date2006-03-11
Last Update Date2007-07-08
Business Address
Ms. DEANNA A LEEDOM CRNA
655 W 8TH ST UFJP ANESTHESIA DEPT.
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4195
Mailing Address
Ms. DEANNA A LEEDOM CRNA
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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