Individual
ELIZABETH ILLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 N JACKSON ST, TULLAHOMA, TN 37388-3542
(931) 563-5469
Mailing address
151 EDNA W GROOMS LN, WATERTOWN, TN 37184-1078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22622
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22622
TN
Other
Enumeration date
05/23/2017
Last updated
02/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us