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Elizabeth Illenberg, FNP
Family Nurse Practitioner in Tullahoma, Tennessee
NPI 1295263192

Elizabeth Illenberg is a Family Nurse Practitioner based in Watertown, TN and is specialized in Family. Elizabeth Illenberg practices in Tullahoma, TN and has the professional credentials of FNP. The NPI Number for Elizabeth Illenberg is 1295263192 and holds a License No. 22622 (Tennessee).

The current practice location address for Elizabeth Illenberg is 600 N Jackson St, Tullahoma, TN and can be reached out via phone at 931-563-5469.

Location: 600 N Jackson St, Tullahoma, TN, 37184-1078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295263192
Provider Name
Elizabeth Illenberg
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
600 N Jackson St, Tullahoma, TN, 37184-1078
Phone Number
931-563-5469
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 N Jackson St
City
Tullahoma
State
Tennessee
Zip
37388-3542
Phone Number
931-563-5469
Fax Number
person
Provider Business Mailing Address Details
Address
600 N Jackson St
City
Tullahoma
State
Tennessee
Zip
37388-3542
Phone Number
931-563-5469
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22622 (Tennessee)
Definition
Definition to come...
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