| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLEE NICOLE LEOPARD | 1932628013 | 2022-12-03 |
Carlee Nicole Leopard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932628013. Registration indicates Carlee Nicole Leopard is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Carlee Nicole Leopard CPNP |
| Practice Office Address | 1120 15TH ST AUGUSTA, GA US |
| Practice Office Telephone | 7067218623 |
| Practice Office Fax | 7067211459 |
| Mailing Address | 1120 15TH ST STE BI1056 AUGUSTA, GA 309120004 US |
| Business Telephone | 7067213813 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4106 Columbia Rd Ste 103 | Martinez, GA 309071482 | 7068631440 |
| 3121 Peach Orchard Rd Ste 102 | Augusta, GA 309063527 | 7067925040 |
| 616 Edgefield Rd Ste 180 | North Augusta, SC 298416407 | 8039615001 / 8039612017 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0200X | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN231767
GA |
| 363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 25769
SC |