Healthcare Provider Details

I. General information

NPI: 1861798043
Provider Name (Legal Business Name): BLAIR PARKER LEYHEW NP-C, ACHPN, GS-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GLENIS DR
MURFREESBORO TN
37129-5150
US

IV. Provider business mailing address

220 GLENIS DR
MURFREESBORO TN
37129-5150
US

V. Phone/Fax

Practice location:
  • Phone: 615-225-3618
  • Fax: 629-224-5016
Mailing address:
  • Phone: 615-225-3618
  • Fax: 629-224-5016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number15562
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: