Provider Demographics
NPI:1194141424
Name:LEFFEL, ERIN J (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:J
Last Name:LEFFEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4085 MALLORY LN STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8291
Mailing Address - Country:US
Mailing Address - Phone:615-721-2001
Mailing Address - Fax:
Practice Address - Street 1:4085 MALLORY LN STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8291
Practice Address - Country:US
Practice Address - Phone:615-721-2001
Practice Address - Fax:414-877-5360
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3479-23363AM0700X, 363A00000X
TN6032363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant