Healthcare Provider Details

I. General information

NPI: 1851559892
Provider Name (Legal Business Name): DENISE JOANN LEONE DNP, CPNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE J LEONE ZEMON CPNP

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 FRONTIS PLAZA BLVD
WINSTON SALEM NC
27103-5614
US

IV. Provider business mailing address

PO BOX 602658
CHARLOTTE NC
28260-2658
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-0050
  • Fax:
Mailing address:
  • Phone: 336-716-2357
  • Fax: 336-716-9489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5005340
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5005340
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: