Elliott, Miranda N

Elliott, Miranda N is an individual health care provider with primary practice located at 1700 Pinebrook Dr Ste 2 , Kingsport TN 37660-4365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Elliott, Miranda N can be contacted via phone (423) 579-0101.

Contact Information

Primary practice address
1700 Pinebrook Dr Ste 2 Kingsport TN 37660-4365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 29447 Tennessee

Profile Details

NPI number 1669048294
LBN Legal business name Elliott, Miranda N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Oct 28th, 2022 - about 2 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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