Healthcare Provider Details

I. General information

NPI: 1417236407
Provider Name (Legal Business Name): ELIZABETH ANN DEESON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH TIMPE APRN

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 N HIGHWAY 27 STE B4
SEBRING FL
33870-1000
US

IV. Provider business mailing address

6801 N HIGHWAY 27 STE B4
SEBRING FL
33870-1000
US

V. Phone/Fax

Practice location:
  • Phone: 863-991-9424
  • Fax: 855-538-4282
Mailing address:
  • Phone: 863-991-9424
  • Fax: 855-538-4282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3411812
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: