Healthcare Provider Details

I. General information

NPI: 1568399483
Provider Name (Legal Business Name): ALISHA LEAHY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 DODDS AVE
CHATTANOOGA TN
37404-3908
US

IV. Provider business mailing address

409 DODDS AVE
CHATTANOOGA TN
37404-3908
US

V. Phone/Fax

Practice location:
  • Phone: 423-624-4024
  • Fax:
Mailing address:
  • Phone: 423-624-4024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42214
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000240863
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: