Healthcare Provider Details
I. General information
NPI: 1598678880
Provider Name (Legal Business Name): PREMIER SENIOR SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
328 HOWARD RD
LOUDON TN
37774-7208
US
IV. Provider business mailing address
328 HOWARD RD
LOUDON TN
37774-7208
US
V. Phone/Fax
- Phone: 865-422-7831
- Fax: 865-213-9892
- Phone: 865-422-7831
- Fax: 865-213-9892
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
ELIZABETH
DUBROC
Title or Position: FNP-BC/OWNER
Credential: FNP-BC
Phone: 865-422-7831