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Individual

MS. ELISA LYNN BERRY

Active
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Individual

MS. ELISA LYNN BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1109251
TX
363LF0000X
Family Nurse Practitioner
Primary
798905
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4854P
KY LIC
KY
Enumeration date
05/16/2006
Last updated
02/22/2018
About Stedi
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