Individual
MS. AIMEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 ONEEGA LN, SUITE A, ERWIN, TN 37650-2197
(423) 735-5700
(423) 735-5723
Mailing address
300 E MAIN ST, JOHNSON CITY, TN 37601-5705
(423) 979-0000
(423) 979-6333
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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