Individual
MS. JACLYN ASHLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(724) 856-9145
Mailing address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(724) 856-9145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001007297
NC
363A00000X
Physician Assistant
25MP00363500
NJ
363A00000X
Physician Assistant
MA057528
PA
Other
Enumeration date
04/20/2015
Last updated
10/21/2020
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