Individual
MRS. CARLA DAWN LEUSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CNS, FNP, RN
Contact information
Practice address
3400 LEBANON RD, MEDICAL SVC/PRIMARY CARE-111, MURFREESBORO, TN 37129-1237
(615) 867-6111
Mailing address
3400 LEBANON RD, ATTN: FIRM B, MURFREESBORO, TN 37129-1237
(615) 225-4830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
515308
CA
363LF0000X
Family Nurse Practitioner
Primary
APN0000012826
TN
364SA2200X
Adult Health Clinical Nurse Specialist
1857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14750
NURSE PRACTITIONER FURNIS
CA
01
—
APN0000012826
CERTIFICATE OF FITNESS
TN
Enumeration date
09/27/2006
Last updated
07/16/2009
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