Elliott, Jennifer L

Elliott, Jennifer L is an individual health care provider with primary practice located at 40 W 4Th St , Mansfield OH 44902-1206. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Elliott, Jennifer L can be contacted via phone (419) 522-4969.

Contact Information

Primary practice address
40 W 4Th St Mansfield OH 44902-1206
Phone: (419) 522-4969
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN.373278 Ohio
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.373278 Ohio

Profile Details

NPI number 1790269561
LBN Legal business name Elliott, Jennifer L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790269561 NPPES
Ohio Other 1790735462 NPI
Ohio MEDICAID 2263910 NPI
Ohio Other 367771 NPI

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