Provider Demographics
NPI:1043809817
Name:LEACH, ERIKA JAYNE (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:JAYNE
Last Name:LEACH
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:14 WEBB PL
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2467
Practice Address - Country:US
Practice Address - Phone:603-742-7900
Practice Address - Fax:603-343-4749
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2023-11-29
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Provider Licenses
StateLicense IDTaxonomies
NH363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant