Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0000112487 | TN |
NPI | 1003571373 |
---|---|
Provider Name | Leah A Lima |
First Address | Greenbrier, TN 37073-5793 |
Second Address | Nashville, TN 37212-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |