Elliott, Joy Coburn
Elliott, Joy Coburn is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Anesthesia Dept., Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Elliott, Joy Coburn can be contacted via phone (904) 393-5582.Contact Information
Primary practice address
655 W 8Th St Ufjp Anesthesia Dept.
Jacksonville FL 32209-6511
Phone: (904) 393-5582
Fax: (904) 244-4908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP3244722 | Florida |
Profile Details
NPI number | 1649248964 |
---|---|
LBN Legal business name | Elliott, Joy Coburn |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 11th, 2006 |
Last updated | Jul 12th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649248964 | NPPES |
Georgia | MEDICAID | 000978975D | |
Georgia | MEDICAID | 3051633-00 | |
Georgia | MEDICAID | 000978975A |
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