Healthcare Provider Details

I. General information

NPI: 1447785886
Provider Name (Legal Business Name): SUELEE BALMER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11185 LEBANON RD
MOUNT JULIET TN
37122-5542
US

IV. Provider business mailing address

11185 LEBANON RD
MOUNT JULIET TN
37122-5542
US

V. Phone/Fax

Practice location:
  • Phone: 615-773-4034
  • Fax:
Mailing address:
  • Phone: 615-773-4034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41529
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0013359
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: