Individual
ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
119 EPPERSON ST, ATHENS, TN 37303-3478
(423) 745-7500
Mailing address
119 EPPERSON ST, ATHENS, TN 37303-3478
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
210538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210538
—
TN
Enumeration date
07/29/2019
Last updated
07/29/2019
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