Individual
WHITNEY ELVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
(252) 753-5834
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-6101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG0615014
NC
363LA2200X
Adult Health Nurse Practitioner
AG0615014
NC
363LG0600X
Gerontology Nurse Practitioner
AG0615014
NC
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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