Provider Demographics
NPI:1851481576
Name:ELLIOTT, TAMIKA D (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TAMIKA
Middle Name:D
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:7 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4566
Mailing Address - Country:US
Mailing Address - Phone:864-797-6044
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:1107 W POINSETT ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1318
Practice Address - Country:US
Practice Address - Phone:864-879-8886
Practice Address - Fax:864-879-1204
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC2671363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health