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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063021087

Leslie Trivett Maclucas, APRN is a Nurse Practitioner in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2020, 6 years ago. Practices with Sbh-Kingsport, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1025 Executive Park Blvd
Kingsport, TN 37660-4620
Phone: (423) 830-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28014 (TN)

Record details

NPI number1063021087
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 27, 2020
Last updated in NPPESApril 6, 2024
Certification dateApril 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sbh-Kingsport — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport