Individual
ELIJAH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
205A HOSPITAL DR, MC KENZIE, TN 38201-2024
(731) 352-7907
(833) 690-3848
Mailing address
205A HOSPITAL DR, MC KENZIE, TN 38201-2024
(731) 352-7907
(833) 690-3848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
42279
TN
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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