Jerry G Elliott, NP-C Valid NPI

Individual provider · Nurse Practitioner · Richland, WA

NPI

1114152758

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

AP60240764 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-05-27

Last updated

2016-11-08