Provider Demographics
NPI:1154638674
Name:YORK, ELIZABETH DOWNER (NP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DOWNER
Last Name:YORK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 NASHVILLE HWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-2176
Mailing Address - Country:US
Mailing Address - Phone:931-380-8416
Mailing Address - Fax:931-380-8419
Practice Address - Street 1:1116 NASHVILLE HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2176
Practice Address - Country:US
Practice Address - Phone:931-380-8416
Practice Address - Fax:931-380-8419
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily