Lydia Jordan Leonard, FNP | |
3190 Northridge Rd, Hale, MI 48739-9276 | |
(989) 728-6000 | |
(989) 728-6003 |
Full Name | Lydia Jordan Leonard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3190 Northridge Rd, Hale, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306366562 | NPI | - | NPPES |
4704292824 | Other | MI | NURSE PRACTITIONER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704292824 (Michigan) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
---|---|
Lydia Jordan Leonard, FNP 3190 Northridge Drive, Hale, MI 48739 Ph: (989) 728-6000 | Lydia Jordan Leonard, FNP 3190 Northridge Rd, Hale, MI 48739-9276 Ph: (989) 728-6000 |
Debra K Provoast, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Mrs. Jessica Lynn Wilson, MSN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-892-7722 | |
Jalyn Jammer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-524-3758 | |
Beth A Weaver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Lindsey Grace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Melissa Marie Nixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 |