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
Phone: (360) 360-4872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 years ago |
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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