MEDICARE: ELAINA JOY SANDERS BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	271490	TN

General Provider Information

NPI Number	:	1336082577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINA JOY SANDERS BSN, RN

Provider Business Mailing Address
First Line	:	6400 PANORAMA DR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 WESTAGTE CIRCLE
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027
Country	:	US
Telephone Number	:	629-255-2093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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