Individual provider · Type 1 NPI

Mary Kathryn Elledge

Pediatric Nurse Practitioner · Durham, NC

NPI number 1447955232 Active

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

6804 Buckhead Dr
Raleigh, NC 27615-7003

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X297433 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5021780 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447955232

Mary Kathryn Elledge's National Provider Identifier is 1447955232, issued on Apr 3, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Durham, NC. The record was last updated on Aug 25, 2025.