Elliot, Jessica Tatiana

Elliot, Jessica Tatiana is an sole proprietor health care provider with primary practice located at 113 Privilege Rd , Bloomfield CT 06002-5900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Elliot, Jessica Tatiana can be contacted via phone (914) 224-1896.

Contact Information

Primary practice address
113 Privilege Rd Bloomfield CT 06002-5900
Phone: (914) 224-1896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2383335 Massachusetts

Profile Details

NPI number 1174203186
LBN Legal business name Elliot, Jessica Tatiana
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 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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