Provider Demographics
NPI:1982231940
Name:LEONARD, JENNIFER (DOULA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 WEEPING WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1310
Mailing Address - Country:US
Mailing Address - Phone:719-581-9041
Mailing Address - Fax:
Practice Address - Street 1:6515 WEEPING WILLOW DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-1310
Practice Address - Country:US
Practice Address - Phone:719-581-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula