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Individual

DR. SUSAN JANE ELLIOTT

Active
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Individual

DR. SUSAN JANE ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2018026391
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
F07181228
MO

Other

Enumeration date
10/31/2018
Last updated
03/15/2021
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