Provider Demographics
NPI:1588808703
Name:LEONIAK, JENNIFER L (DO, MS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:LEONIAK
Suffix:
Gender:
Credentials:DO, MS
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:TURLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, MS
Mailing Address - Street 1:PO BOX 4978
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95352-4978
Mailing Address - Country:US
Mailing Address - Phone:209-208-0923
Mailing Address - Fax:209-748-4850
Practice Address - Street 1:920 DELBON AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2019
Practice Address - Country:US
Practice Address - Phone:209-208-0923
Practice Address - Fax:097-484-8502
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13410207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease