Provider Demographics
NPI:1225496490
Name:HIGHTOWER, ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 PROFESSIONAL PARK CIR STE 80
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4536
Mailing Address - Country:US
Mailing Address - Phone:850-402-5454
Mailing Address - Fax:850-402-5451
Practice Address - Street 1:1881 PROFESSIONAL PARK CIR STE 80
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4536
Practice Address - Country:US
Practice Address - Phone:850-402-5454
Practice Address - Fax:850-402-5451
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9341942363LP0200X
FLARNP9341942363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics