Individual
ELESHA R QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5214
Mailing address
4543 CARTER CROSSING BLVD, COLUMBUS, IN 47201-8112
(812) 498-4533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28271761A
IN
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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