Provider Demographics
NPI:1083783401
Name:MURPHY, LUCINDA LEANNA (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:LEANNA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 FREEWILL RD NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-1600
Mailing Address - Country:US
Mailing Address - Phone:423-728-5069
Mailing Address - Fax:
Practice Address - Street 1:310 TELLICO ST S
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-1187
Practice Address - Country:US
Practice Address - Phone:423-442-1235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAP0000012082363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health