Individual
BEVERLY ARLENE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1431 CENTERPOINT BLVD STE 100, KNOXVILLE, TN 37932-1983
(865) 985-7193
Mailing address
1431 CENTERPOINT BLVD STE 100, KNOXVILLE, TN 37932-1983
(865) 985-7193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010708
KY
363LF0000X
Family Nurse Practitioner
0000021575
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027648
—
TN
Enumeration date
09/02/2016
Last updated
02/05/2020
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