Doctor Name: | ELIZABETH RUTH ANN HAMPTON |
NPI Number: | 1003151168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADULT NURSE PRACTITI |
License Number: | APN0000017080 |
Business Practice Address: | 3000 Preston Station Dr Hixson, TN - 373433300 |
Business Phone Number: | 4233094663 |
Business Fax Number: | |
Mailing Address: | 3000 Preston Station Dr, HIXSON |
State: | TN |
Postal Code: | 373433300 |
Phone Number: | 4233094663 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | APN0000017080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |