Individual
LEAH ASHLEY BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN 37745-4341
(423) 787-6370
(423) 787-6371
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
18140
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
18140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6010370
BCBST
TN
Enumeration date
01/31/2014
Last updated
07/28/2022
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