Individual
ELYSE BULLOCK O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
796 DOCTORS CT, ROXBORO, NC 27573-4571
(336) 598-0002
Mailing address
796 DOCTORS CT, ROXBORO, NC 27573-4571
(336) 598-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
265665
NC
Other
Enumeration date
08/21/2019
Last updated
09/20/2019
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