person
Leslie Trivett Maclucas, APRN
Psychiatric/Mental Health Nurse Practitioner in Kingsport, Tennessee
NPI 1063021087

Leslie Trivett Maclucas is a Psychiatric/Mental Health Nurse Practitioner based in Kingsport, TN and is specialized in Psychiatric/Mental Health. Leslie Trivett Maclucas practices in Kingsport, TN and has the professional credentials of APRN. The NPI Number for Leslie Trivett Maclucas is 1063021087 and holds a License No. 28014 (Tennessee).

The current practice location address for Leslie Trivett Maclucas is 1025 Executive Park Blvd, Kingsport, TN and can be reached out via phone at 423-830-8110.

Location: 1025 Executive Park Blvd, Kingsport, TN, 37660-4620
person
Provider Profile Details
NPI Number
1063021087
Provider Name
Leslie Trivett Maclucas
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1025 Executive Park Blvd, Kingsport, TN, 37660-4620
Phone Number
423-830-8110
Fax Number
Provider Enumeration Date
07/27/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1025 Executive Park Blvd
City
State
Zip
37660-4620
Phone Number
423-830-8110
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Executive Park Blvd
City
State
Zip
37660-4620
Phone Number
423-830-8110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28014 (Tennessee)
Definition
Definition to come...
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