Provider Demographics
NPI:1780961623
Name:ELITE HEALTHCARE ALLIANCE, PLLC
Entity type:Organization
Organization Name:ELITE HEALTHCARE ALLIANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:615-834-7777
Mailing Address - Street 1:1195 OLD HICKORY BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4239
Mailing Address - Country:US
Mailing Address - Phone:615-834-7777
Mailing Address - Fax:615-834-7888
Practice Address - Street 1:1195 OLD HICKORY BLVD
Practice Address - Street 2:STE 102
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-834-7777
Practice Address - Fax:615-834-7888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000015786363L00000X
TN0000008337363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty