Individual
MRS. KRISTEN LOVELADY ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
585 INTERSTATE DR, STE B, MANCHESTER, TN 37355-3190
(931) 728-9000
(931) 728-2726
Mailing address
585 INTERSTATE DR, STE B, MANCHESTER, TN 37355-3190
(931) 728-9000
(931) 728-2726
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18509
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18509
FNP LICENSE
TN
05
—
3730274
—
TN
Enumeration date
04/09/2014
Last updated
03/07/2023
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