ELIZABETH A PARK FNP
NPI 1447255096
Nurse Practitioner in Vonore, TN

Q: What is Elizabeth Park's NPI number?

The NPI number for Elizabeth Park is 1447255096. It was assigned to this individual provider in the NPPES registry on June 19, 2005.

Q: What is Elizabeth Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Park was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2005

1206 HIGHWAY 411, VONORE, TN 37885(423) 442-2622(423) 442-5760 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth A Park Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A PARK FNP (NPI 1447255096) is an individual nurse practitioner in Vonore, Tennessee, licensed in Tennessee (6439) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1447255096

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH A PARKCredential: FNP

Location Address1206 HIGHWAY 411Vonore, TN 37885-2455

Mailing Address1206 Highway 411Vonore, TN 37885-2455 · (423) 442-2622 · Fax (423) 442-5760

Phone(423) 442-2622

Fax(423) 442-5760

Sole ProprietorNo

Enumeration DateJune 19, 2005

Last NPPES UpdateJuly 9, 2010

✔ NPI 1447255096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 6439

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1206 HIGHWAY 411, Vonore, TN 37885

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Other Identifiers 6

Medicaid3901053TN

Medicare PIN3901053TN

Medicare PIN3901052TN

Medicare UPINP56805

Medicaid1506981TN

Medicaid3901052TN

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY HOWARD DO

Family Medicine