Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivelisse E Leonor, FAMILYNURSEPRACTIO

Individual provider Registered Nurse · NPI 1104146042

Ivelisse E Leonor, FAMILYNURSEPRACTIO is a Nurse Practitioner in Saint Joseph, Michigan. Qualified in 2010, 16 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
16
Licensed in
IN, MI
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085
Phone: (269) 985-4632
Fax: (269) 985-4523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704291709 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 28162828A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71003297A (IN)

Record details

NPI number1104146042
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIO
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESAugust 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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