JEFFERY D ELLIOTT NP NPI 1679656847

NPI Information

NPI: 1679656847
Provider Name: JEFFERY D ELLIOTT, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1551 BISHOP ST
SUITE110/160
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 542-6729
Get Directions

Jeffery D Elliott, NP is a psychiatric/mental health nurse practitioner in San Luis Obispo, CA. Jeffery D Elliott, NP NPI is 1679656847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1551 BISHOP ST
SUITE110/160
SAN LUIS OBISPO, CA
ZIP 93401-635
Phone: (805) 542-6729
Fax: (805) 269-1597

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/7/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	12502	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12502	OTHER	CALIFORNIA	NP FURNISHING
2	866	OTHER	ALASKA	ADVANCED NP
3	57311	OTHER	CALIFORNIA	PUBLIC HEALTH NURSE
4	R0052489	OTHER	OKLAHOMA	REGISTERED NURSE
5	12502	OTHER	CALIFORNIA	NURSE PRACTITIONER
6	20005000564-34	OTHER	CALIFORNIA	ANCC APRN- BC (PSYCH)
7	24836	OTHER	ALASKA	REGISTERED NURSE
8	384948	OTHER	CALIFORNIA	REGISTERED NURSE

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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