ELNORA KING NURSE PRACTITIONER NPI 1063067577

NPI Information

  • NPI: 1063067577
  • Provider Name: ELNORA KING, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 RICE RD APT 1117
    TYLER, TX
    ZIP 75703
  • Phone: (903) 312-2169

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NPI Details

Elnora King, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Tyler, TX with 7 years of experience. Elnora King, NURSE PRACTITIONER NPI is 1063067577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 RICE RD APT 1117
TYLER, TX
ZIP 75703-308
Phone: (903) 312-2169

The NPI 1063067577 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2019 and was last updated on 8/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP141630TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP141630TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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