Individual
ELIZABETH MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2702 JACKSBORO PIKE, JACKSBORO, TN 37757-4850
(423) 374-7775
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
37272
TN
Other
Enumeration date
02/05/2025
Last updated
12/16/2025
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