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1538161542

NPI Code Detail

MEDICARE: MRS. ELIZABETH JENKINS ANDREWS MSN, ARNP-BC, ACNP,G

MEDICARE: MRS. ELIZABETH JENKINS ANDREWS MSN, ARNP-BC, ACNP,G

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	600121/88415	NC
2	363LG0600X	Gerontology Nurse Practitioner	600121/88415	NC
3	363LA2100X	Acute Care Nurse Practitioner	600121	NC
4	363LG0600X	Gerontology Nurse Practitioner	600121	NC
5	363LF0000X	Family Nurse Practitioner	600121	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	192927	OTHER		MEDCOST
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7492901	OTHER		AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538161542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH JENKINS ANDREWS MSN, ARNP-BC, ACNP,G

Provider Business Mailing Address
First Line	:	MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-5599
Fax Number	:	336-716-3202

Provider Business Practice Location Address
First Line	:	1272 EAST ST
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3437
Country	:	US
Telephone Number	:	828-456-3511
Fax Number	:	828-456-3583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/24/2016

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Directions to “ MRS. ELIZABETH JENKINS ANDREWS MSN, ARNP-BC, ACNP,G” Practice Location

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