Provider Demographics
NPI:1275748568
Name:ELKINS, BETTY JOYCE (FNP)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:JOYCE
Last Name:ELKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 GLENOVER DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-6205
Mailing Address - Country:US
Mailing Address - Phone:901-372-4840
Mailing Address - Fax:901-545-7135
Practice Address - Street 1:880 MADISON AVE
Practice Address - Street 2:MEDPLEX SUITE 5B01
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3409
Practice Address - Country:US
Practice Address - Phone:901-545-6416
Practice Address - Fax:901-545-7135
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily