Jennifer Kristen Leisch, RN is a
Registered Nurse based in Marengo, Illinois. Jennifer Kristen Leisch is licensed to practice in Illinois (license number 041352754) and her current practice location is
323 Bailey Ct Apt 1, Marengo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 766-0318.
NPI number for Jennifer Kristen Leisch is 1114485836 and her current mailing address is 323 Bailey Ct Apt 1, Marengo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114485836.
Provider's Profile
Full Name | Jennifer Kristen Leisch |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 323 Bailey Ct Apt 1, Marengo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114485836
- Provider Enumeration Date: 03/12/2019
- Last Update Date: 03/12/2019
Medical Identifiers
Medical identifiers for Jennifer Kristen Leisch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114485836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041352754 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Kristen Leisch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Kristen Leisch, RN 323 Bailey Ct Apt 1, Marengo, IL 60152-3348 Ph: (815) 766-0318 | Jennifer Kristen Leisch, RN 323 Bailey Ct Apt 1, Marengo, IL 60152-3348 Ph: (815) 766-0318 |
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