person
Jeffery D Elliott, NP
Psychiatric/Mental Health Nurse Practitioner in San Luis Obispo, California
NPI 1679656847

Jeffery D Elliott is a Psychiatric/Mental Health Nurse Practitioner based in Santa Maria, CA and is specialized in Psychiatric/Mental Health. Jeffery D Elliott practices in San Luis Obispo, CA and has the professional credentials of NP. The NPI Number for Jeffery D Elliott is 1679656847 and holds a License No. 12502 (California).

The current practice location address for Jeffery D Elliott is 1551 Bishop St, San Luis Obispo, CA and can be reached out via phone at 805-542-6729 and via fax at 805-269-1597.

Location: 1551 Bishop St, San Luis Obispo, CA, 93458-7310
person
Provider Profile Details
NPI Number
1679656847
Provider Name
Jeffery D Elliott
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1551 Bishop St, San Luis Obispo, CA, 93458-7310
Phone Number
805-542-6729
Fax Number
805-269-1597
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12502 01 CA NP FURNISHING
866 01 AK ADVANCED NP
57311 01 CA PUBLIC HEALTH NURSE
R0052489 01 OK REGISTERED NURSE
12502 01 CA NURSE PRACTITIONER
20005000564-34 01 CA ANCC APRN- BC (PSYCH)
24836 01 AK REGISTERED NURSE
384948 01 CA REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
1551 Bishop St
City
State
Zip
93401-4635
Phone Number
805-542-6729
Fax Number
805-269-1597
person
Provider Business Mailing Address Details
Address
1551 Bishop St
City
State
Zip
93401-4635
Phone Number
805-542-6729
Fax Number
805-269-1597
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
12502 (California)
Definition
Definition to come...
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