Individual
MRS. LEEANN HUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN0000067229
Contact information
Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8603
Mailing address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000067229
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448133
—
TN
Enumeration date
05/05/2010
Last updated
05/05/2010
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