Individual
DR. ABALONIA ROSE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, MSP, CPM, NRP
Contact information
Practice address
5636 OLD HICKORY BLVD APT 720, HERMITAGE, TN 37076-3099
(954) 282-9170
Mailing address
5636 OLD HICKORY BLVD APT 720, HERMITAGE, TN 37076-3099
(615) 928-0641
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
241208
TN
175L00000X
Homeopath
—
—
175M00000X
Lay Midwife
Primary
241208
TN
175M00000X
Lay Midwife
—
—
176B00000X
Midwife
1295436244
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295436244
LAY MIDWIFE/DOULA
GA
01
—
1295436244
LAY MIDWIFE/DOULA
TN
05
—
1295436244
—
TN
Enumeration date
03/16/2023
Last updated
02/25/2024
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