Provider Demographics
NPI:1073725263
Name:HANCOCK, LETHA JANE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LETHA
Middle Name:JANE
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2913 ALICE BELL ROAD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917
Mailing Address - Country:US
Mailing Address - Phone:865-546-3366
Mailing Address - Fax:865-215-5340
Practice Address - Street 1:140 DAMERON AVENUE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917
Practice Address - Country:US
Practice Address - Phone:865-215-5334
Practice Address - Fax:865-215-5340
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily