# LORI JILL ELMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306874052
- **Gender:** F
- **Credential:** MSN, CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | APN 0000006762 | TN | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000942 | CERTIFICATE OF FITNESS | TN |
| 01 | — | APN000006762 | ADVANCE PRACTICE NURSE | TN |
| 01 | — | RN0000093981 | RN LICENSE | TN |
| 01 | — | TN0104 | JOHN DEERE ID \# | TN |