Provider Demographics
NPI:1720249022
Name:LEINART, NANCY JOANN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JOANN
Last Name:LEINART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-6830
Mailing Address - Country:US
Mailing Address - Phone:865-457-5450
Mailing Address - Fax:
Practice Address - Street 1:1 BETHEL VALLEY RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-8050
Practice Address - Country:US
Practice Address - Phone:865-574-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily