Provider Demographics
NPI:1154153104
Name:LEBLANC, NANCY JEAN
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5898 MAXFLI LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-4775
Mailing Address - Country:US
Mailing Address - Phone:513-234-9570
Mailing Address - Fax:
Practice Address - Street 1:5898 MAXFLI LN
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4775
Practice Address - Country:US
Practice Address - Phone:513-234-9570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide