Healthcare Provider Details

I. General information

NPI: 1295659118
Provider Name (Legal Business Name): SHIRLESA ELLIOTT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MEDICAL CENTER PKWY
MURFREESBORO TN
37129-2245
US

IV. Provider business mailing address

271 ZOLLICOFFER DR
MURFREESBORO TN
37128-1817
US

V. Phone/Fax

Practice location:
  • Phone: 615-396-4100
  • Fax:
Mailing address:
  • Phone: 901-517-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number42811
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: