MEDICARE: ELIZABETH BELLAMY FNP-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
1	207Q00000X	Family Medicine Physician	APN0000033996	TN

General Provider Information

NPI Number	:	1568143113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BELLAMY FNP-C

Provider Business Mailing Address
First Line	:	1805 WILLIAMSON CT
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-8164
Country	:	US
Telephone Number	:	615-331-5536
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 TROTWOOD AVE STE 100
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4942
Country	:	US
Telephone Number	:	153-315-5366
Fax Number	:

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

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	04/17/2026

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