Provider Demographics
NPI:1215821624
Name:MEDLEY, ELIZABETH MEAGHAN (MS, RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MEAGHAN
Last Name:MEDLEY
Suffix:
Gender:F
Credentials:MS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 MABEL DR APT 11101
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3768
Mailing Address - Country:US
Mailing Address - Phone:260-515-3556
Mailing Address - Fax:
Practice Address - Street 1:11000 MABEL DR APT 11101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3768
Practice Address - Country:US
Practice Address - Phone:260-515-3556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program