Individual
ELIZABETH ANN WISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2130 N CHARLES G SEIVERS BLVD, CLINTON, TN 37716-6705
(865) 269-4260
Mailing address
418 S GAY ST STE 103, KNOXVILLE, TN 37902-1127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245256
TN
363LF0000X
Family Nurse Practitioner
Primary
34236
TN
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/14/2020
Last updated
01/15/2026
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