Berry, Elisa Lynn

Berry, Elisa Lynn is an individual health care provider with primary practice located at 818 N 4Th St , Longview TX 75601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berry, Elisa Lynn can be contacted via phone (903) 236-8600.

Contact Information

Primary practice address
818 N 4Th St Longview TX 75601
Phone: (903) 236-8600
Fax: (903) 236-8605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1109251 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 798905 Texas

Profile Details

NPI number 1215989710
LBN Legal business name Berry, Elisa Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215989710 NPPES
Kentucky Other 4854P KY LIC

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