Individual
ELNORA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1600 RICE RD APT 1117, TYLER, TX 75703-3308
(903) 312-2169
Mailing address
PO BOX 7907, TYLER, TX 75711-7907
(903) 312-2169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP141630
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141630
TX
Other
Enumeration date
08/02/2019
Last updated
08/28/2024
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