Provider Demographics
NPI:1083507305
Name:NP ELITE PRIMARY CARE LLC
Entity type:Organization
Organization Name:NP ELITE PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:APRN CNS BC
Authorized Official - Phone:270-839-8208
Mailing Address - Street 1:522 NOEL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1386
Mailing Address - Country:US
Mailing Address - Phone:270-839-8208
Mailing Address - Fax:833-438-7611
Practice Address - Street 1:522 NOEL AVE STE B
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1386
Practice Address - Country:US
Practice Address - Phone:270-839-8208
Practice Address - Fax:833-438-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Single Specialty