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Individual

MS. ELIZABETH ELLIS KENEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC, RN

Contact information

Practice address
2125 BELCOURT AVE, NASHVILLE, TN 37212
(910) 791-9625
(910) 798-8071
Mailing address
2125 BELCOURT AVE, NASHVILLE, TN 37212
(615) 379-8600
(615) 269-3596

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18756
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5005894
NC

Other

Enumeration date
10/21/2012
Last updated
10/23/2014
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