Healthcare Provider Details

I. General information

NPI: 1467438903
Provider Name (Legal Business Name): KAREN F. ELGIN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CHILD ST BOX 1000
JACKSONVILLE FL
32214-2111
US

IV. Provider business mailing address

1738 COLONIAL DR
GREEN COVE SPRINGS FL
32043-8003
US

V. Phone/Fax

Practice location:
  • Phone: 904-542-7986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9440836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: