Individual
ELISSA RAINER PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
615 MAIN ST, NASHVILLE, TN 37206-3603
(615) 469-1065
Mailing address
901 WOODLAND ST, NASHVILLE, TN 37206-3791
(615) 469-1065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1170
AL
363A00000X
Physician Assistant
Primary
3952
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/15/2016
Last updated
07/07/2021
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