Individual
JILLIAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000850
SD
Other
Enumeration date
03/24/2014
Last updated
02/09/2017
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