Individual
MRS. HALEY ELIZABETH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7014
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205219
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27410
TN
Other
Enumeration date
12/02/2019
Last updated
08/23/2024
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