Individual
JANIE R ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1016 PONCE DE LEON BLVD, CLEARWATER, FL 33756-1073
(727) 586-6200
(813) 635-2656
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1961102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304022400
—
FL
01
—
500023571
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/11/2006
Last updated
04/23/2010
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