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Individual

EMILY GRACE ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN RN AGACNP-BC

Contact information

Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7331
(919) 350-6999
Mailing address
P.O. BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
311136
NC
363L00000X
Nurse Practitioner
Primary
5020376
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639912157
NC
Enumeration date
06/13/2024
Last updated
04/29/2025
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