Provider Demographics
NPI:1417250911
Name:DUGAN, LEANNA STEEL (PNP)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:STEEL
Last Name:DUGAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 BAKERS BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6456
Mailing Address - Country:US
Mailing Address - Phone:615-790-3200
Mailing Address - Fax:615-794-2883
Practice Address - Street 1:570 BAKERS BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6456
Practice Address - Country:US
Practice Address - Phone:615-790-3200
Practice Address - Fax:615-794-2883
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14391363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics