Individual
ELYSSA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 385-8965
Mailing address
2421 CHERT LN, RALEIGH, NC 27610-7192
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L009070
NC
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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