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Individual

MIAH KIRBY ELMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
240 COLONIAL CIR STE A, JAMESTOWN, TN 38556-3924
(931) 879-9936
(931) 879-9938
Mailing address
240 COLONIAL CIR STE A, JAMESTOWN, TN 38556-3924
(931) 879-9936
(931) 879-9938

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000185879
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000185879
NURSE LICENSURE NUMBER
TN
Enumeration date
01/25/2021
Last updated
01/25/2021
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