Individual provider · Type 1 NPI

Polly Jo Leisure, REGISTERED NURSE

Registered Nurse · Eagle Butte, SD

NPI number 1407486590 Active

Practice location

24276 Airport Rd
Eagle Butte, SD 57625-8021

Call (605) 964-7724 Map

Mailing address

5061 Nicholas Dr
Birmingham, AL 35215-4064

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	1-155980 (AL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1407486590

Polly Jo Leisure, REGISTERED NURSE's National Provider Identifier is 1407486590, issued on Jan 17, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Eagle Butte, SD. The record was last updated on Jan 17, 2020.