Individual
ALEXIS MARIE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-8200
(336) 716-9253
(336) 713-4501
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011427
NC
363LP0200X
Pediatric Nurse Practitioner
5011427
NC
Other
Enumeration date
02/01/2019
Last updated
06/09/2022
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