Leigh Danielle Sturdivant, DPH

Key facts

NPI

1710475868

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

34256 (TN)

Practice address

2200 Highway 641 N
Camden, TN 38320-5276

Phone

(731) 584-4667

NPI assigned

Apr 24, 2018

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2018.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1710475868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 ASBURY RD",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383206027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 641 N",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383205276",
            "telephone_number": "731-584-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVANT",
        "first_name": "LEIGH",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "34256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, TN

• Smith Chiropractic Clinic, PLLC
• Grace Marie Smith, LMT
• Marcelle Smith, DPH
• Deborah T Smothers, F.N.P.
• State of Tennessee
• Thornburg Family Medical Clinic, Inc
• Kristie Lynn Threet, R.N.
• Jessica Toombs
• Cristie Anne Vibbert, FNP-BC
• Agustin V Vitualla, MD

All providers in Camden, TN · Pharmacist in Tennessee