Individual provider · Type 1 NPI
Timothy Russell Leonard
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1023714177
Active
Practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Fax (616) 465-5911
Mailing address
2373 64th St SW Ste 2500
Byron Center, MI 49315-7978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704363385 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023714177
Timothy Russell Leonard's National Provider Identifier is 1023714177, issued on Jan 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 26, 2026.