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

Elizabeth Illenberg, FNP

Individual provider Family Nurse Practitioner · NPI 1295263192

Elizabeth Illenberg, FNP is a Nurse Practitioner in Tullahoma, Tennessee. Qualified in 2017, 9 years ago. Practices with Brownsville Medical Clinic, PA, a 61-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

600 N Jackson St
Tullahoma, TN 37388-3542
Phone: (931) 563-5469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 22622 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 22622 (TN)

Record details

NPI number1295263192
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address151 Edna W Grooms Ln, Watertown, TN 37184-1078

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brownsville Medical Clinic, P.A. — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tullahoma