Individual
MRS. TRACEY ELLEDGE SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1919 W PARK DR, NORTH WILKESBORO, NC 28659-3564
(336) 651-2980
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 983-4346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201162
LICENSE NO.
NC
Enumeration date
09/15/2006
Last updated
10/25/2020
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