Individual
JON M ELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8210 RENAISSANCE PKWY, DURHAM, NC 27713-6688
(800) 389-2727
(401) 652-9787
Mailing address
1106 PROFESSOR PL, DURHAM, NC 27713-6099
(919) 618-4174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201497
NC MEDICAL BOARD LICENSE
NC
Enumeration date
06/12/2007
Last updated
03/11/2016
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