Provider Demographics
NPI:1033466453
Name:PASCHALL, ELIZABETH A (APN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:PASCHALL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1360 AIRPORT RIDGE RD
Mailing Address - Street 2:P. O. BOX 110
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-4007
Mailing Address - Country:US
Mailing Address - Phone:931-589-2011
Mailing Address - Fax:931-589-3331
Practice Address - Street 1:847 SQUIRREL HOLLOW DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-6479
Practice Address - Country:US
Practice Address - Phone:931-589-2600
Practice Address - Fax:931-589-2602
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000016693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily