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NPI Code Detail

MEDICARE: LETONYIA LOVE NP

MEDICARE: LETONYIA LOVE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner30356TN

General Provider Information

NPI Number : 1497406961
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETONYIA LOVE NP
Provider Business Mailing Address
First Line : PO BOX 932958
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9025 US HIGHWAY 64
Second Line :
City : LAKELAND
State : TN
Zip : 38002-7981
Country : US
Telephone Number : 901-387-2998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2022
Last Update Date : 04/16/2025

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