| Lydia Jordan Leonard, FNP | |
|
3190 Northridge Rd, Hale, MI 48739-9276 | |
| (989) 728-6000 | |
| (989) 728-6003 |
| Full Name | Lydia Jordan Leonard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3190 Northridge Rd, Hale, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306366562 | NPI | - | NPPES |
| 4704292824 | Other | MI | NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704292824 (Michigan) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Jordan Leonard, FNP 3190 Northridge Drive, Hale, MI 48739 Ph: (989) 728-6000 | Lydia Jordan Leonard, FNP 3190 Northridge Rd, Hale, MI 48739-9276 Ph: (989) 728-6000 |
Debra K Provoast, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Mrs. Jessica Lynn Wilson, MSN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-892-7722 | |
Jalyn Jammer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-524-3758 | |
Beth A Weaver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Lindsey Grace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Margaret M Marth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-4211 Fax: 989-728-4334 |