NPI 1831417658 GARY NEWTON ELLEDGE MSN, NP-C KIMBALL TN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Gary Newton Elledge - NPI: 1831417658

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: GARY NEWTON ELLEDGE
NPI Number: 1831417658
Entity Type Code: Individual (1)
Gender: M
Credentials: MSN, NP-C
License Number: APN0000014743
Business Practice Address: 1511 Main St
Kimball, TN - 373475551
Business Phone Number: 4238376000
Business Fax Number:
Mailing Address: 1511 Main St,
KIMBALL
State: TN
Postal Code: 373475551
Phone Number: 4238376000
Fax Number:
NPI Enumeration Date: 05/05/2010
NPI Last Update Date: 05/28/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: APN0000014743
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TN
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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