Provider Demographics
NPI:1508372830
Name:INMAN, ELYN CHANCE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELYN
Middle Name:CHANCE
Last Name:INMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELYN
Other - Middle Name:CHANCE
Other - Last Name:STENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 52032
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-2032
Mailing Address - Country:US
Mailing Address - Phone:630-947-3684
Mailing Address - Fax:
Practice Address - Street 1:4101 MACON POND RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6319
Practice Address - Country:US
Practice Address - Phone:919-781-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-22
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07658363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant