Provider Demographics
NPI:1447776539
Name:ELMORE, DEBORAH JO (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JO
Last Name:ELMORE
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JO
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:635 STONE AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-9342
Mailing Address - Country:US
Mailing Address - Phone:903-785-3300
Mailing Address - Fax:903-785-3310
Practice Address - Street 1:635 STONE AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9342
Practice Address - Country:US
Practice Address - Phone:903-785-3300
Practice Address - Fax:903-785-3310
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily