Individual
ELIZABETH FRAZIER SCHEANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
34030
TN
363LP0200X
Pediatric Nurse Practitioner
NCO-000006
GA
363LP0200X
Pediatric Nurse Practitioner
RN286984
GA
Other
Enumeration date
10/24/2022
Last updated
02/26/2024
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