Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. DEANNA A LEEDOM CRNA
NPI 1639147978
Nurse Practitioner in Jacksonville, FL

Q: What is Deanna Leedom's NPI number?

The NPI number for Deanna Leedom is 1639147978. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Q: What is Deanna Leedom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Leedom was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2006

655 W 8TH ST, UFJP ANESTHESIA DEPT., JACKSONVILLE, FL 32209(904) 244-4195(904) 244-4908 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Deanna A Leedom Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEANNA A LEEDOM CRNA (NPI 1639147978) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP211934) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1639147978

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. DEANNA A LEEDOMCredential: CRNA

Location Address655 W 8TH ST, UFJP ANESTHESIA DEPT.Jacksonville, FL 32209-6511

Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425

Phone(904) 244-4195

Fax(904) 244-4908

Sole ProprietorNo

Enumeration DateMarch 11, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1639147978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP211934

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

655 W 8TH ST, Jacksonville, FL 32209

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