Individual
MR. ELIJAH SCOTT VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
612 DOWNEY PL, GASTONIA, NC 28054-3905
(704) 689-6944
Mailing address
612 DOWNEY PL, GASTONIA, NC 28054-3905
(704) 689-6944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014104
NC
Other
Enumeration date
02/07/2021
Last updated
01/15/2026
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