Individual provider · Type 1 NPI

Jonta Elliott

Student in an Organized Health Care Education/Training Program · Rocky Mount, NC

NPI number 1023955267 Active

Practice location

301 S Church St Ste 140I
Rocky Mount, NC 27804-5755

Fax (252) 370-1575

Mailing address

524 Lakeland St
Durham, NC 27701-4508

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X346094 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023955267

Jonta Elliott's National Provider Identifier is 1023955267, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rocky Mount, NC. The record was last updated on May 4, 2026.