Individual
MS. MARY JO ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
919 E GRACE ST, RENSSELAER, IN 47978
(219) 866-0411
(219) 866-1920
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002770A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201067030
—
IN
Enumeration date
05/18/2009
Last updated
03/17/2021
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