Individual
LISAMARIE GRACE LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1497 W ELK AVE STE 21, ELIZABETHTON, TN 37643-2896
(423) 542-7420
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000030898
TN
Other
Enumeration date
08/22/2022
Last updated
01/22/2024
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