Individual
LORI JILL ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
255 E WATT ST, ALCOA, TN 37701-2236
(865) 273-1616
(865) 273-1645
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN 0000006762
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000942
CERTIFICATE OF FITNESS
TN
01
—
APN000006762
ADVANCE PRACTICE NURSE
TN
01
—
RN0000093981
RN LICENSE
TN
01
—
TN0104
JOHN DEERE ID #
TN
Enumeration date
06/30/2006
Last updated
03/07/2023
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