Provider Demographics
NPI:1205846029
Name:LEONARD, JACQUELINE JESSICA (DC)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:JESSICA
Last Name:LEONARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 CARL ELLER RD
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-6000
Mailing Address - Country:US
Mailing Address - Phone:828-689-3777
Mailing Address - Fax:
Practice Address - Street 1:342 CARL ELLER RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-6000
Practice Address - Country:US
Practice Address - Phone:828-689-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor