Individual
COURTNEY BROOKE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
100 W 15TH ST, BEARDSTOWN, IL 62618-1774
(217) 323-2245
(217) 323-2684
Mailing address
100 W 15TH ST, BEARDSTOWN, IL 62618-1774
(217) 323-2245
(217) 323-2684
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041.430842
IL
163WP0200X
Pediatric Registered Nurse
199590
TN
363LP0200X
Pediatric Nurse Practitioner
18596
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
209.012897
IL
Other
Enumeration date
12/18/2013
Last updated
06/30/2015
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