Provider Demographics
NPI:1295337665
Name:INFINITY FAMILY HEALTH LLC
Entity type:Organization
Organization Name:INFINITY FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHALEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:931-808-2218
Mailing Address - Street 1:231 NORTHGATE DR STE 218
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1436
Mailing Address - Country:US
Mailing Address - Phone:932-507-2021
Mailing Address - Fax:932-507-2022
Practice Address - Street 1:231 NORTHGATE DR STE 218
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1436
Practice Address - Country:US
Practice Address - Phone:931-668-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty