Smith, Elisha John
Smith, Elisha John is an individual health care provider with primary practice located at 100 Medical Park Dr Ste 210, Concord NC 28025-2948. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Smith, Elisha John can be contacted via phone (704) 403-6100.Contact Information
Primary practice address
100 Medical Park Dr Ste 210
Concord NC 28025-2948
Phone: (704) 403-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5014793 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5014793 | North Carolina |
Profile Details
| NPI number | 1982377891 |
|---|---|
| LBN Legal business name | Smith, Elisha John |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2021 |
| Last updated | May 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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