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Individual

MS. ROCKI LYNN ELAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNS, RN

Contact information

Practice address
3500 FETCHET AVE, JB ANDREWS, MD 20762-5157
(804) 690-9033
Mailing address
10503 WILLIAMSVILLE RD, HANOVER, VA 23069-1835
(804) 690-9033

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001205025
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024181833
VA
364SA2200X
Adult Health Clinical Nurse Specialist
0024181833
VA
364SG0600X
Gerontology Clinical Nurse Specialist
0024181833
VA

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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