Elligott, Jessica Irene

Elligott, Jessica Irene is an individual health care provider with primary practice located at 2101 Ne 139Th St Ste 460 , Vancouver WA 98686-2325. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Dietary & Nutritional Service Providers / Dietitian, Registered. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Elligott, Jessica Irene can be contacted via phone (360) 360-4872.

Contact Information

Primary practice address
2101 Ne 139Th St Ste 460 Vancouver WA 98686-2325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X DI60596850 Washington
Nursing Service Providers / Diabetes Educator 163WD0400X DI60596850 Oregon
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60596850 Washington

Profile Details

NPI number 1154967461
LBN Legal business name Elligott, Jessica Irene
Credentials CDCES, MS, RDN, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2019
Last updated Nov 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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