Provider Demographics
NPI:1750924189
Name:EARLEY, TORRY ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:TORRY
Middle Name:ELIZABETH
Last Name:EARLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 WINFIELD DUNN PKWY
Mailing Address - Street 2:
Mailing Address - City:KODAK
Mailing Address - State:TN
Mailing Address - Zip Code:37764-4309
Mailing Address - Country:US
Mailing Address - Phone:865-213-7104
Mailing Address - Fax:865-213-7105
Practice Address - Street 1:2960 WINFIELD DUNN PKWY
Practice Address - Street 2:
Practice Address - City:KODAK
Practice Address - State:TN
Practice Address - Zip Code:37764-4309
Practice Address - Country:US
Practice Address - Phone:865-213-7104
Practice Address - Fax:865-213-7105
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32343363LF0000X
PASP020942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily