Provider Demographics
NPI:1003195249
Name:MONTEJO, LEIGH NICOLE (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:NICOLE
Last Name:MONTEJO
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9527 DELANEY CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-5178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:813-545-1221
Practice Address - Street 1:9527 DELANEY CREEK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-5178
Practice Address - Country:US
Practice Address - Phone:813-615-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC246816363LF0000X
FLARNP9273541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily