Jeffery D Elliott in San Luis Obispo - Psychiatric/mental Health

Jeffery D Elliott - NPI 1679656847

Jeffery D Elliott is a Psychiatric/mental Health in San Luis Obispo, California. Jeffery D Elliott practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Jeffery D Elliott is 1679656847. The last update date is 2023-03-07.

Jeffery D Elliott's current location address is 1551 Bishop St, San Luis Obispo, California. You can contact this provider via phone number 8055426729 and fax number 8052691597. The mailing address for Jeffery D Elliott is 1551 Bishop St, San Luis Obispo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffery D Elliott
Address 1551 Bishop St, San Luis Obispo, California
Phone Number 8055426729
Fax Number 8052691597
Sole Proprietor Y
Credentials NP

NPI Number Detail

NPI Number 1679656847
Provider Enumeration Date 2006-10-23
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1551 Bishop St
City San Luis Obispo
State California (CA)
Post Code 934014635
Phone Number 8055426729
Fax Number 8052691597

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 12502
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12502 CA NP FURNISHING
866 AK ADVANCED NP
57311 CA PUBLIC HEALTH NURSE
R0052489 OK REGISTERED NURSE
12502 CA NURSE PRACTITIONER
20005000564-34 CA ANCC APRN- BC (PSYCH)
24836 AK REGISTERED NURSE
384948 CA REGISTERED NURSE

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FAQs about Jeffery D Elliott

What is the unique identifier code issued to Jeffery D Elliott by the Centers for Medicare & Medicaid Services?

The Jeffery D Elliott has been assigned the NPI (National Provider Identifier) 1679656847. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffery D Elliott is physically located?

The Jeffery D Elliott is situated at the following address: 1551 Bishop St, San Luis Obispo, CA 934014635.

What is Jeffery D Elliott's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffery D Elliott is Psychiatric/mental Health, and the taxonomy code that classifies this field of practice is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679656847 to Jeffery D Elliott?

The Centers for Medicare & Medicaid Services originally issued the 1679656847 to Jeffery D Elliott on 2006-10-23.

When was the information pertaining to Jeffery D Elliott most recently updated or revised?

The details related to Jeffery D Elliott, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.

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