NPI Code Details Logo

NPI 1467310052

NPI 1467310052 : ALLISON ELAINE ELSWICK : JOHNSON CITY, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1467310052
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALLISON ELAINE ELSWICK
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/12/2026
-----------------------------------------------------
    Last Update Date     |    01/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 N STATE OF FRANKLIN RD 
-----------------------------------------------------
    City                 |    JOHNSON CITY
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37604-6035
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-431-6111
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9787 RAMBLEWOOD DR 
-----------------------------------------------------
    City                 |    WISE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24293-4440
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.