GRACE K LEEMAN NPI 1538908421

NPI Information

  • NPI: 1538908421
  • Provider Name: GRACE K LEEMAN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2103 FOREST DR STE 5
    GRAY, TN
    ZIP 37615
  • Phone: (423) 794-3142

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NPI Details

Grace K Leeman is a family nurse practitioner in Gray, TN with 2 years of experience. Grace K Leeman NPI is 1538908421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2024

The provider's business location address is:

2103 FOREST DR STE 5
GRAY, TN
ZIP 37615-423
Phone: (423) 794-3142
Fax: (423) 794-3184

The NPI 1538908421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2024 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse243355TENNESSEENo
2363L00000XNurse Practitioner37153TENNESSEENo
3363LF0000XNurse PractitionerFamily37153TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11538908421OTHERTENNESSEENPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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