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Individual

JAMIE ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, IBCLC

Contact information

Practice address
8 REVERE AVE, WILMINGTON, MA 01887-6217
(978) 491-9097
Mailing address
8 REVERE AVE, WILMINGTON, MA 01887-6217

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LN89562
MA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-320790
MA

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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