Doctor Name: | MRS. TAYLOR ELLIOTT |
NPI Number: | 1639551633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 234218 |
Business Practice Address: | 3824 S Highway 27 La Fayette, GA - 307283967 |
Business Phone Number: | 7066399055 |
Business Fax Number: | |
Mailing Address: | 1312 W 45th St, CHATTANOOGA |
State: | TN |
Postal Code: | 374091501 |
Phone Number: | 4235030468 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2015 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 234218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |