Provider Demographics
NPI:1629368295
Name:PARKER, ELIZABETH FRANCIS (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:FRANCIS
Last Name:PARKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:FRANCIS
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:236 STRADER ROAD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-0000
Mailing Address - Country:US
Mailing Address - Phone:865-679-6611
Mailing Address - Fax:865-777-0910
Practice Address - Street 1:12752 KINGSTON PIKE
Practice Address - Street 2:STE E202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-0948
Practice Address - Country:US
Practice Address - Phone:877-277-9030
Practice Address - Fax:865-777-0910
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN015503367500000X
TNAPN15503367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1523648Medicaid