Individual
MRS. LESLEY ANNE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
180 REBA RD, SOMERVILLE, TN 38068-5565
(731) 541-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
250938
TN
390200000X
Student in an Organized Health Care Education/Training Program
250938
TN
Other
Enumeration date
05/04/2026
Last updated
05/14/2026
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