Elliott, Susan Jane

Elliott, Susan Jane is an sole proprietor health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Elliott, Susan Jane can be contacted via phone (314) 977-8462.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-8462
Fax: (314) 977-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2018026391 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F07181228 Missouri

Profile Details

NPI number 1407323132
LBN Legal business name Elliott, Susan Jane
Credentials DNP, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2018
Last updated Mar 15th, 2021 - 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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