Individual provider · Type 1 NPI
Joanne Leader, AGNP-C
Gerontology Nurse Practitioner · Colts Neck, NJ
NPI number
1104539485
Active
Practice location
1 Eagle Nest Rd
Colts Neck, NJ 07722-1062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ01476400 (NJ) |
| Gerontology Registered Nurse | 163WG0600X | 26NJ01476400 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1104539485
Joanne Leader, AGNP-C's National Provider Identifier is 1104539485, issued on Jan 2, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Colts Neck, NJ. The record was last updated on Oct 9, 2026.