Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth A Pettey, NP

Individual provider Family Nurse Practitioner · NPI 1013611425

Elizabeth A Pettey, NP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
4
Licensed in
TN, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Ridgeview Rd, Jonesville, VA 24263-7813 — (276) 832-1015

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 33931 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024185836 (VA)

Record details

NPI number1013611425
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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