| Doctor Name: | COURTNEY BROOKE ELLIOTT |
| NPI Number: | 1487075305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | 041.430842 |
| Business Practice Address: | 100 W 15th St Beardstown, IL - 626181774 |
| Business Phone Number: | 2173232245 |
| Business Fax Number: | 2173232684 |
| Mailing Address: | 100 W 15th St, BEARDSTOWN |
| State: | IL |
| Postal Code: | 626181774 |
| Phone Number: | 2173232245 |
| Fax Number: | 2173232684 |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 041.430842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |