Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Kaleigh Mundy, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1538520812

Laura Kaleigh Mundy, FNP-BC is a Nurse Practitioner in Jacksboro, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2015, 11 years ago. Practices with Eastlake Medical, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2016
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2500 Jacksboro Pike Ste 6
Jacksboro, TN 37757-2818
Phone: (423) 352-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0000021023 (TN)

Record details

NPI number1538520812
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 14, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2015 (11 years in practice)
Group practice Eastlake Medical, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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