Individual
GRACE K LEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 FOREST DR STE 5, GRAY, TN 37615-8423
(423) 794-3142
(423) 794-3184
Mailing address
1326 PAPERMILL POINTE WAY, KNOXVILLE, TN 37909-1903
(865) 673-5000
(865) 243-2138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243355
TN
363L00000X
Nurse Practitioner
37153
TN
363LF0000X
Family Nurse Practitioner
Primary
37153
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538908421
NPI
TN
Enumeration date
05/21/2024
Last updated
10/14/2024
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