Healthcare Provider Details

I. General information

NPI: 1871408773
Provider Name (Legal Business Name): DEVIKA LEIGH LAY BSN, RN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6965 CUMBERLAND GAP PKWY
HARROGATE TN
37752-8231
US

IV. Provider business mailing address

87 STONY BROOK DR
CORBIN KY
40701-7457
US

V. Phone/Fax

Practice location:
  • Phone: 423-869-3611
  • Fax:
Mailing address:
  • Phone: 606-401-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4020560
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: