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Individual

MS. MABLE JEANNETTE ELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3111422
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-043339
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130030
AL
05
306270800
FL
01
511-12684
BLUE CROSS OF AL
AL
Enumeration date
07/07/2006
Last updated
04/17/2019
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