Provider Demographics
NPI:1922499409
Name:FRANKS, LEUTSHIA C (NP)
Entity Type:Individual
Prefix:
First Name:LEUTSHIA
Middle Name:C
Last Name:FRANKS
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:105 W STONE DR
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3365
Mailing Address - Country:US
Mailing Address - Phone:423-408-7220
Mailing Address - Fax:423-408-7405
Practice Address - Street 1:280 VIRGINIA AVE NE
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1538
Practice Address - Country:US
Practice Address - Phone:276-679-2310
Practice Address - Fax:276-679-8460
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2015-03-18
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Provider Licenses
StateLicense IDTaxonomies
VA0024172321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVG397B288Medicare PIN