Individual
ELISA CHANMEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
(984) 974-2705
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5022473
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5022473
NC
Other
Enumeration date
06/25/2025
Last updated
11/18/2025
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