Individual
EMILY JERNIGAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-4554
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-4554
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102204576
VA
2084N0400X
Neurology Physician
0102204576
VA
2084N0600X
Clinical Neurophysiology Physician
0102204576
VA
2084N0600X
Clinical Neurophysiology Physician
Primary
20993
FL
Other
Enumeration date
03/04/2015
Last updated
05/22/2024
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