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Individual

MS. AIMEE ELLIOTT

Active
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Individual

MS. AIMEE ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5012449
NC
364SF0001X
Family Health Clinical Nurse Specialist
15675
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524893
TN
05
1992004824
VA
05
7005680
NC
01
P00954810
RR MEDICARE
TN
Enumeration date
03/17/2011
Last updated
02/19/2020
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