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

Mrs. Prabha Jaishwal Long, FNP

Individual provider Family Nurse Practitioner · NPI 1760965628

Mrs. Prabha Jaishwal Long, FNP is a Nurse Practitioner in Elizabethton, Tennessee. Graduated from Brody School of Medicine at East Carolina University in 2014, 12 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
12
Trained at
Brody School of Medicine at East Carolina University
Licensed in
TN
In the registry since
2018
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

1505 W Elk Ave Ste 2
Elizabethton, TN 37643-2848
Phone: (423) 543-1261
Fax: (423) 543-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24448 (TN)

Record details

NPI number1760965628
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 7, 2018
Last updated in NPPESSeptember 7, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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