Individual provider · Type 1 NPI

Brody Jules Elliott

Student in an Organized Health Care Education/Training Program · Joint Base Lewis Mcchord, WA

NPI number 1104760701 Active

Practice location

9040A Jackson Ave
Joint Base Lewis Mcchord, WA 98431-0001

Call (562) 250-8512 Map

Mailing address

12104 Gerber Ave
La Mirada, CA 90638-1130

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

132 other providers at this address

Other student in an organized health care education/training program providers in Joint Base Lewis Mcchord

See all in Joint Base Lewis Mcchord →

About NPI 1104760701

Brody Jules Elliott's National Provider Identifier is 1104760701, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Apr 15, 2026.