| Doctor Name: | ELISSA ANN DELONG |
| NPI Number: | 1073924486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | 84801 |
| Business Practice Address: | 7050 Air Depot Blvd Tinker Afb, OK - 731458716 |
| Business Phone Number: | 4057342778 |
| Business Fax Number: | |
| Mailing Address: | 7050 Air Depot Blvd., TINKER AFB |
| State: | OK |
| Postal Code: | 73145 |
| Phone Number: | 4057342778 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2014 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 84801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |