Individual
LEAH BAILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1930 ALCOA HWY STE 145, KNOXVILLE, TN 37920
(865) 582-3123
(865) 305-5857
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN11582
STATE LICENSE
TN
Enumeration date
02/19/2007
Last updated
12/21/2018
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