Provider Demographics
NPI:1164123931
Name:MARKLEY, LEAH JACQUELINE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:JACQUELINE
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:JACQUELINE
Other - Last Name:MCGETRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 CALLAHAN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-2414
Mailing Address - Country:US
Mailing Address - Phone:303-241-9522
Mailing Address - Fax:
Practice Address - Street 1:17 CALLAHAN AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-2414
Practice Address - Country:US
Practice Address - Phone:303-241-9522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC245215163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency