Provider Demographics
NPI:1487025185
Name:HOWARD, ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:REEVES
Other - Last Name:GROWNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1633 W MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-3875
Mailing Address - Country:US
Mailing Address - Phone:423-492-6700
Mailing Address - Fax:
Practice Address - Street 1:1633 W MORRIS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3875
Practice Address - Country:US
Practice Address - Phone:423-492-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily