Individual
MS. JACQUELINE LEE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
456 UNION ST, MANCHESTER, NH 03103-5215
(866) 679-0831
Mailing address
PO BOX 1110, WATERTOWN, MA 02471-1110
(866) 679-0831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
059804-23
NH
Other
Enumeration date
08/12/2015
Last updated
07/18/2023
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