ELIZABETH ILLENBERG

TULLAHOMA, TN
NPI1295263192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  22622)
Enumeration Date2017-05-23
Last Update Date2017-05-23
Business Address
ELIZABETH ILLENBERG FNP
600 N JACKSON ST
TULLAHOMA, TN 37388-3542
Phone number: 931-563-5469
Mailing Address
ELIZABETH ILLENBERG FNP
151 EDNA W GROOMS LN
WATERTOWN, TN 37184-1078
Phone number: