Jerin D Elliott
Individual provider Active NPI Counselor · Browns Summit, NC
NPI 1982934428 · NPPES record last updated Jan 6, 2010
Key facts
- NPI
- 1982934428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 705 Hiddenlake CT
Browns Summit, NC 27214-7000 - Phone
- (336) 501-0474
- NPI assigned
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
705 Hiddenlake CT
Browns Summit, NC 27214-7000
Mailing address
705 Hiddenlake CT
Browns Summit, NC 27214-7000
Phone (336) 501-0474
Other providers in Browns Summit, NC
- Sena Crutchley
- Rosetta Cunningham
- Sharon Jean Davis
- Actavia Dempsey
- Mary Beth Dixon
- Enoch Consulting, LLC
- Erion Consulting LLC
- Errc Services
- Nataki Smith Ganzer
- Glade Point LLC
All providers in Browns Summit, NC · Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.