| Doctor Name: | JENNIFER ANN ELLIOTT |
| NPI Number: | 1396071601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP60093645 |
| Business Practice Address: | 6884 Hannegan Rd Everson, WA - 982479637 |
| Business Phone Number: | 3603540766 |
| Business Fax Number: | 3603547667 |
| Mailing Address: | Po Box 34703, SEATTLE |
| State: | WA |
| Postal Code: | 981241703 |
| Phone Number: | 2067643335 |
| Fax Number: | 2067640489 |
| NPI Enumeration Date: | 10/20/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60093645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |