| Doctor Name: | ELIZABETH RODGERS |
| NPI Number: | 1053494708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 7011 |
| Business Practice Address: | 215 Hickman Road Jasper, TN - 37347 |
| Business Phone Number: | 4239423961 |
| Business Fax Number: | 4239423961 |
| Mailing Address: | 118 N Church St, MURFREESBORO |
| State: | TN |
| Postal Code: | 371303636 |
| Phone Number: | 6152782241 |
| Fax Number: | 6159049182 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 7011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |