Jon M Elkin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201497 Issued in NC

Practice address

8210 Renaissance Pkwy
Durham, NC 27713-6688

Phone

(800) 389-2727

Fax

(401) 652-9787

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1639373970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PROFESSOR PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136099",
            "telephone_number": "919-618-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 RENAISSANCE PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136688",
            "telephone_number": "800-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD LICENSE",
            "identifier": "201497",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elite Wellness & Healthcare
• Denise Elizondo, MD
• Mary Kathryn Elledge
• Rachael Davis Elledge, MS, RD, LDN
• Tiffany Nicole Eller
• Sarah Ellestad, M.D.
• Ellie Bash, DDS, Ms, PA

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.