Individual
LEANN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1377 S GERMANTOWN RD, GERMANTOWN, TN 38138-2225
(901) 516-6792
(901) 266-6458
Mailing address
PO BOX 27892, BELFAST, ME 04915-2030
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18645
TN
Other
Enumeration date
04/07/2014
Last updated
10/19/2023
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