Provider Demographics
NPI:1528024759
Name:JOEL, LEIGH ANN (CNM)
Entity Type:Individual
Prefix:MS
First Name:LEIGH ANN
Middle Name:
Last Name:JOEL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 RIDGESTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-3137
Mailing Address - Country:US
Mailing Address - Phone:919-294-6368
Mailing Address - Fax:919-933-3375
Practice Address - Street 1:930 MARTIN LUTHER KING JR. BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:919-933-3375
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC220372367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303402000Medicaid
FL303402000Medicaid
Q48125Medicare UPIN