Provider Demographics
NPI:1861045346
Name:BLEVINS, SIERRA BUCKNER (FNP)
Entity type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:BUCKNER
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:SIERRA
Other - Middle Name:M
Other - Last Name:BUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2829 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3216
Mailing Address - Country:US
Mailing Address - Phone:866-589-0003
Mailing Address - Fax:844-309-6361
Practice Address - Street 1:2829 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3216
Practice Address - Country:US
Practice Address - Phone:866-589-0003
Practice Address - Fax:844-309-6361
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily