Healthcare Provider Details

I. General information

NPI: 1891556817
Provider Name (Legal Business Name): LEAH ELLYSE SALISBURY MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 WEATHERLY DR STE C
CLARKSVILLE TN
37043-8941
US

IV. Provider business mailing address

141 NEESE DR APT K30
NASHVILLE TN
37211-2778
US

V. Phone/Fax

Practice location:
  • Phone: 931-645-3552
  • Fax:
Mailing address:
  • Phone: 228-223-4261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number40252
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: