Individual
ANGELA MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
653-1 W 8TH ST, UFJAX - DEPT. OF OBGYN, JACKSONVILLE, FL 32209-6511
(904) 244-6667
(904) 244-3124
Mailing address
PO BOX 44008, UFJAX - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP9202743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134464A
—
GA
05
—
003134464B
—
GA
05
—
008955900
—
FL
Enumeration date
06/03/2013
Last updated
03/12/2015
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