Individual
MISS RACHEL KATHERINE ANTHONY LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 CEDAR LN STE 900, TULLAHOMA, TN 37388-2286
(931) 455-2674
Mailing address
7005 WATERBURY PT, NASHVILLE, TN 37221-4622
(731) 612-1126
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19338
TN
Other
Enumeration date
11/07/2014
Last updated
06/01/2020
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