Individual
MR. JOHN WESLEY ELLIOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-3153
(727) 767-2265
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3153
(727) 767-2265
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9398367
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
COA-16296-NP
OH
Other
Enumeration date
12/15/2014
Last updated
09/15/2015
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