Individual provider · Type 1 NPI
Elizabeth Frazier Scheanon, CPNP-PC
Pediatric Nurse Practitioner · Fort Campbell, KY
NPI number
1477270163
Active
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NCO-000006 (GA) |
| Pediatric Nurse Practitioner | 363LP0200X | RN286984 (GA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 34030 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477270163
Elizabeth Frazier Scheanon, CPNP-PC's National Provider Identifier is 1477270163, issued on Oct 24, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Campbell, KY. The record was last updated on Feb 26, 2024.