Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 31125 | TN |
NPI | 1033863634 |
---|---|
Provider Name | Leslie Finch |
First Address | Dyersburg, TN 38024-4116 |
Second Address | Dresden, TN 38225-2308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2022 |
Last Update Date | 11/02/2022 |