Provider Demographics
NPI:1215553581
Name:ELLIOTT, EVA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MARIE
Last Name:ELLIOTT
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1208 CHOCTAW TRL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7410
Mailing Address - Country:US
Mailing Address - Phone:615-645-3031
Mailing Address - Fax:615-678-5676
Practice Address - Street 1:1208 CHOCTAW TRL
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7410
Practice Address - Country:US
Practice Address - Phone:615-645-3031
Practice Address - Fax:615-678-5676
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN26977363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology