JESSICA IRENE ELLIGOTT CDCES MS RDN CDN NPI 1154967461

NPI Information

NPI: 1154967461
Provider Name: JESSICA IRENE ELLIGOTT, CDCES, MS, RDN, CDN
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
2101 NE 139TH ST STE 460
VANCOUVER, WA
ZIP 98686
Phone: (360) 360-4872
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Jessica Irene Elligott, CDCES, MS, RDN, CDN is a diabetes educator registered nurse in Vancouver, WA. Jessica Irene Elligott, CDCES, MS, RDN, CDN NPI is 1154967461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2101 NE 139TH ST STE 460
VANCOUVER, WA
ZIP 98686-325
Phone: (360) 360-4872

The enumeration date for this NPI number is 11/21/2019 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	DI60596850	WASHINGTON	Yes
2	163WD0400X	Registered Nurse	Diabetes Educator	DI60596850	OREGON	No
3	133V00000X	Dietitian, Registered		DI60596850	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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