Individual provider · Type 1 NPI
Leah Lounetta Grissom, FNP-C
Nurse Practitioner · Reagan, TN
Practice location
30840 Highway 104 S
Reagan, TN 38368-6216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F09261537 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1033015003
Leah Lounetta Grissom, FNP-C's National Provider Identifier is 1033015003, issued on Oct 16, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Reagan, TN. The record was last updated on Oct 16, 2026.