Individual
JILL ELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(192) 240-0154
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264515
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18792-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161156
—
OH
Enumeration date
12/17/2014
Last updated
02/28/2023
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