Provider Demographics
NPI:1396344891
Name:ELLIOTT, JHNELL L
Entity type:Individual
Prefix:
First Name:JHNELL
Middle Name:L
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 WOODCREST RD N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-5753
Mailing Address - Country:US
Mailing Address - Phone:561-268-8596
Mailing Address - Fax:
Practice Address - Street 1:1492 WOODCREST RD N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-5753
Practice Address - Country:US
Practice Address - Phone:561-268-8596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula