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NPI Code Detail

MEDICARE: ELIZABETH WHITE MSN, NP-C

MEDICARE: ELIZABETH WHITE MSN, NP-C
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
1363LF0000XFamily Nurse Practitioner13352TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000013352OTHERTNTN APN
20000150630OTHERTNRN

General Provider Information

NPI Number : 1528239464
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WHITE MSN, NP-C
Provider Business Mailing Address
First Line : 2743 SUMMER OAKS DR
Second Line :
City : BARTLETT
State : TN
Zip : 38134-2858
Country : US
Telephone Number : 901-382-5256
Fax Number : 901-382-3731
Provider Business Practice Location Address
First Line : 2743 SUMMER OAKS DR
Second Line :
City : BARTLETT
State : TN
Zip : 38134-2858
Country : US
Telephone Number : 901-382-5256
Fax Number : 901-382-3731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 12/09/2025

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