Individual
JOANNA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 MAIN ST STE 102, WOODWARD, OK 73801-3064
(580) 254-8198
Mailing address
1611 MAIN ST STE 102, WOODWARD, OK 73801-3064
(580) 254-8192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0088924
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200574930A
—
OK
Enumeration date
02/13/2015
Last updated
10/30/2024
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