Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEAH LOUNETTA GRISSOM FNP-C
NPI 1033015003
Nurse Practitioner in Reagan, TN

Active since October 16, 2026
30840 HIGHWAY 104 S, REAGAN, TN 38368(731) 549-0828 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leah Lounetta Grissom Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH LOUNETTA GRISSOM FNP-C (NPI 1033015003) is an individual nurse practitioner in Reagan, Tennessee, licensed in Tennessee (F09261537) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1033015003
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEAH LOUNETTA GRISSOMCredential: FNP-C
Location Address30840 HIGHWAY 104 SReagan, TN 38368-6216
Mailing Address30840 Highway 104 SReagan, TN 38368-6216 · (731) 549-0828
Sole ProprietorNo
Enumeration DateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1033015003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · F09261537
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
30840 HIGHWAY 104 S, Reagan, TN 38368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Grissom's NPI number?

The NPI number for Leah Grissom is 1033015003. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Leah Grissom located?

Leah Grissom practices at 30840 Highway 104 S, Reagan, TN 38368. The listed phone number is (731) 549-0828.

What is Leah Grissom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Leah Grissom was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.