Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELYN M LEAK-GILLISPIE, NP-C
ActiveAdult Health Nurse Practitioner · CONCORD, NC
Registration Details
- NPI Number
- 1831255330
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2006 (19.319979985611 yrs)
- Last Updated
- Aug 22, 2023
- Licenses
-
5002506 (NC)5002506 (NC)
Practice Information
- Address
-
920 CHURCH ST NCONCORD, NC, 280252927Browse NC providers · Browse ZIP 28025
- Phone
- 7044031430
- Fax
- 7044031158
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in CONCORD, NC
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN MISKOVICH MEHTA | FNP | 1295726602 |
| TAMARA HEGLAR GENTLE | NP | 1194792093 |
| MRS. HEATHER CAUDILL PUCKETT | ANP-C | 1679598791 |
| SANDRA K PONTIUS | RN,ANP-C | 1174530521 |
| ANGELA J SHARPE | ANP | 1760632632 |
| PATRICIA CROSSEN | — | 1518109586 |
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.