Provider Demographics
NPI:1114622941
Name:LEONARD, JULIET MARIE (APN - FNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:MARIE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:APN - FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 OLD HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1342
Mailing Address - Country:US
Mailing Address - Phone:908-730-6363
Mailing Address - Fax:
Practice Address - Street 1:1205 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-4100
Practice Address - Country:US
Practice Address - Phone:908-213-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNUR-2023-003193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily