Individual provider Active NPI

Jenna Elkins

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1841033743
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024733 Issued in NC
Practice address
1220 Magnolia St
Greensboro, NC 27401-1309
Phone
(336) 938-0800
Fax
(336) 938-0755
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 258731 NC
Nurse Practitioner 363L00000X 5024733 NC Primary

Addresses

Primary practice location

1220 Magnolia St
Greensboro, NC 27401-1309

Mailing address

1007 Walker Ave
Greensboro, NC 27412-0001
Phone (336) 334-5000

Other practice location 1

1007 Walker Avenue
Greensboro, NC 27412-0001
Phone (336) 334-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
258731NCMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1841033743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WALKER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274120001",
            "telephone_number": "336-334-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAGNOLIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011309",
            "telephone_number": "336-938-0800",
            "fax_number": "336-938-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Walker Avenue",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274120001",
            "country_code": "US",
            "telephone_number": "336-334-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NC",
            "license": "258731",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.