Healthcare Provider Details

I. General information

NPI: 1750142550
Provider Name (Legal Business Name): BRITNE ALICIA ELMORE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 HINTON OAKS BLVD STE E
KNIGHTDALE NC
27545-6564
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 919-679-3177
  • Fax: 919-373-8002
Mailing address:
  • Phone: 919-237-1337
  • Fax: 919-237-1625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number325895
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5019473
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: