| Doctor Name: | J. CAROL ELLIOTT |
| NPI Number: | 1518394196 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS-BC |
| License Number: | RN241276 |
| Business Practice Address: | 200 May St South Attleboro, MA - 027035520 |
| Business Phone Number: | 5087618500 |
| Business Fax Number: | 5088382326 |
| Mailing Address: | 200 May St, SOUTH ATTLEBORO |
| State: | MA |
| Postal Code: | 027035520 |
| Phone Number: | 5087618500 |
| Fax Number: | 5088382326 |
| NPI Enumeration Date: | 09/27/2013 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN241276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |