Individual provider · Type 1 NPI

Leisa Jamine Hospedales, AGPCNP-BC

Adult Health Nurse Practitioner · Lakeland, FL

NPI number 1245957091 Active

Practice location

135 E 1st St
Lakeland, FL 33805-4609

Fax (863) 686-6737

Mailing address

15118 Evans Ranch Rd
Lakeland, FL 33809-9714

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11021939 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1245957091

Leisa Jamine Hospedales, AGPCNP-BC's National Provider Identifier is 1245957091, issued on Oct 24, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lakeland, FL. The record was last updated on Aug 28, 2023.