Individual provider · Type 1 NPI

Jennifer E. Leibold, PA-C

Physician Assistant · Dayton, OH

NPI number 1962710103 Active

Practice location

5491 Far Hills Ave
Dayton, OH 45429-2325

Call (937) 436-5763 Map

Mailing address

1430 Oak Ct Ste 100
Beavercreek, OH 45430-1064

Other practice locations

  • 6210 Brandt Pike Ste 102, Huber Heights, OH 45424-4019 · (937) 236-8630
  • 9150 N Main St Ste 100, Englewood, OH 45415-1123 · (937) 771-3039

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X50.001562 (OH)
Personal Care Attendant 3747P1801XNone listed
Physician Assistant Primary 363A00000X50001562 (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

9 other providers at this address

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About NPI 1962710103

Jennifer E. Leibold, PA-C's National Provider Identifier is 1962710103, issued on Sep 22, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dayton, OH. The record was last updated on Mar 5, 2026.