Individual
DEBRA JO ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP, CHEP
Contact information
Practice address
350 STATE ROUTE 664 N, LOGAN, OH 43138-8931
(740) 385-3030
Mailing address
350 STATE ROUTE 664 N, LOGAN, OH 43138-8931
(740) 385-3030
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
229778
OH
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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