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Contact Information

JENNIFER A LEISEGANG, RN, MSN
4745 N GOLF COURSE DR
BLAINE, WA98230-6818
 Phone: 360-820-4349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Continuing Education/Staff Development

163WC1600X
Indicates primary specialty

NPI Profile & details for JENNIFER A LEISEGANG · (Female)

NPI # 1912064007
Status Active
Credentials RN, MSN
Entity Individual
Enumeration date 01/02/2007
Last updated 12/20/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RN00148274
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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