Provider Demographics
NPI:1851946560
Name:SCHLITT, VIRGINIA ELISE (APRN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ELISE
Last Name:SCHLITT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 CRYSTAL SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-2359
Mailing Address - Country:US
Mailing Address - Phone:865-776-8086
Mailing Address - Fax:
Practice Address - Street 1:514 CRYSTAL SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-2359
Practice Address - Country:US
Practice Address - Phone:865-776-8086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26348363LW0102X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health