Jody Leisholmn, PA-C

NPI 1922196468 · on the registry since 2006

Practice

Address: 563 Brendible St.
Metlakatla, AK 99926
Phone: (907) 886-4741
Organisation at this address: Metlakatla Indian Community
Metlakatla Indian Community
Metlakatla Indian Community
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska