Individual
KAREN NICOLE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
131 HOSPITAL LN, JELLICO, TN 37762-4404
(423) 784-7269
(423) 784-3708
Mailing address
PO BOX 447, JELLICO, TN 37762-0447
(423) 784-7269
(423) 784-3708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010209
KY
363LF0000X
Family Nurse Practitioner
Primary
APN21093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100431100
—
KY
05
—
Q025347
—
TN
Enumeration date
04/06/2016
Last updated
03/23/2017
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