Laurie Leigh Austin, FNP

Individual provider Active NPI Family Nurse Practitioner · Dyersburg, TN

NPI 1518019652 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1518019652
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0000011868 (TN)
Practice address
1755 Parr Avenue
Dyer County Health Department
Dyersburg, TN 38024
Phone
(731) 285-7311
Fax
(731) 286-2527
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000011868TNMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000011868 TN Yes

Addresses

Primary practice location

1755 Parr Avenue
Dyer County Health Department
Dyersburg, TN 38024

Mailing address

355 Snow Farm Rd
Newbern, TN 38059
Phone (731) 627-9922

Other identifiers

IdentifierTypeStateIssuer
0000011868OtherTNLICENSE

Other providers in Dyersburg, TN

All providers in Dyersburg, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.