Individual
ELLIOT LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201295
TN
363LF0000X
Family Nurse Practitioner
Primary
36805
TN
Other
Enumeration date
07/19/2024
Last updated
08/12/2024
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