Provider Demographics
NPI:1629530548
Name:TENNANT, ELIZABETH MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:TENNANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:510 RECOVERY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4874
Mailing Address - Country:US
Mailing Address - Phone:615-781-4431
Mailing Address - Fax:615-781-4432
Practice Address - Street 1:510 RECOVERY RD STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4874
Practice Address - Country:US
Practice Address - Phone:615-781-4431
Practice Address - Fax:615-781-4432
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN69268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine