# TENNESSEE CONVENIENCE CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennessee Convenience Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376937797
- **Authorized official:** LORA F ELKINS (CEO)
- **Authorized official phone:** (931) 526-1050

## Contact information

- **Practice address:** 315 N WASHINGTON AVE STE 130, COOKEVILLE, TN 38501-2623
- **Practice address phone:** (931) 526-1050
- **Practice address fax:** (931) 526-8163
- **Mailing address:** 315 N WASHINGTON AVE STE 130, COOKEVILLE, TN 38501-2623
- **Mailing address phone:** (931) 526-1050
- **Mailing address fax:** (931) 526-8163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18488 | TN | Yes |
| 363L00000X | Nurse Practitioner | 13278 | TN | — |
| 363L00000X | Nurse Practitioner | 17011 | TN | — |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015