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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIERRA NICOLE LEAK, MD

Active

DR. TIERRA NICOLE LEAK, MD is a Family Medicine healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1104314509 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VIRGINIA BEACH, VA

Registration Details

NPI Number
1104314509
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2018 (8.2899595893975 yrs)
Last Updated
May 16, 2023
Licenses
MD474955 (PA)
0101278323 (VA)

Practice Information

Address
5320 PROVIDENCE RD STE 301
VIRGINIA BEACH, VA, 234644122
Browse VA providers · Browse ZIP 23464
Phone
7574137600
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in VIRGINIA BEACH, VA

Name Credential NPI
DR. MITCHELL B MILLER MD 1902809437
DR. ANTHONY KIELER RICE JR. M.D. 1043214927
ALLEN R. FENDERSON M.D. 1205832979
DR. MICHELLE ELIZABETH KINGSBURY MD 1669473260
DR. NELSON MARC KARP MD 1942201504
DR. WAYNE TEMPLETON FULLER M.D. 1508867672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.