MEDICARE: MS. JOY LEE LEBLANC RN MSN CS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	174506	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538202957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOY LEE LEBLANC RN MSN CS

Provider Business Mailing Address
First Line	:	PO BOX 233
Second Line	:
City	:	HAMPDEN
State	:	MA
Zip	:	01036-0233
Country	:	US
Telephone Number	:	413-781-2910
Fax Number	:	413-746-3932

Provider Business Practice Location Address
First Line	:	10 CENTRAL ST
Second Line	:	SUITE 27
City	:	W SPRINGFIELD
State	:	MA
Zip	:	01089-2700
Country	:	US
Telephone Number	:	413-781-2910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/08/2007

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