Jessica Noel Leighton, DC, IBCLC
Individual provider Active NPI Chiropractor · Lawton, MI
NPI 1932593365 · NPPES record last updated Nov 10, 2024
Key facts
- NPI
- 1932593365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-012747 (IL)
- Practice address
- 62607 Edgewood Cir
Lawton, MI 49065-8688 - Phone
- (630) 995-3189
- Fax
- (630) 536-8454
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-012747 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-315530 | ||
| Chiropractor | 111N00000X | 038-012747 | IL | Yes |
Addresses
Primary practice location
62607 Edgewood Cir
Lawton, MI 49065-8688
Mailing address
62607 Edgewood Cir
Lawton, MI 49065-8688
Phone (630) 995-3189
Other names
- Jessica Noel Flynn
Other providers in Lawton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.