Provider Demographics
NPI:1639719339
Name:ELLIOTT, ANDREA LEIGH (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LEIGH
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:7744 CONNER RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3509
Practice Address - Country:US
Practice Address - Phone:865-546-9751
Practice Address - Fax:833-908-2167
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN27002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily