Individual
JEANETTE M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
850 HOSPITAL RD, SUITE 1300, INDIANA, PA 15701-3662
(724) 349-9444
(724) 465-4072
Mailing address
2 HOT METAL ST, QUANTUM ONE, N431, PITTSBURGH, PA 15203-2348
(412) 432-5806
(412) 432-7691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP004999W
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11647020
CAQH
PA
01
—
166646
SECURITY BLUE
PA
Enumeration date
04/24/2006
Last updated
04/03/2009
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