Healthcare Provider Details

I. General information

NPI: 1174958714
Provider Name (Legal Business Name): ELIZABETH HUDSON BURKE DNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 12/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

1310 24TH AVE SOUTH
NASHVILLE TN
37212
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-6000
  • Fax: 615-225-5381
Mailing address:
  • Phone: 615-327-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number190091
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18058
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: