NPI 1285184879 · live from the CMS NPI Registry
Marissa Marie Leese, AuD
Audiologist in Jamestown, ND. National Provider Identifier 1285184879, active.
NPI record
| NPI | 1285184879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2422 20th St Sw, Jamestown, ND 58401 |
| Practice phone | 701-952-4800 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | October 7, 2016 |
| Last updated | November 22, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 1625 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.