Individual provider · Type 1 NPI

Jerry G. Elliott, NP-C

Nurse Practitioner · Richland, WA

NPI number 1114152758 Active

Practice location

888 Swift Blvd
Richland, WA 99352

Fax (509) 942-2185

Mailing address

560 Gage Blvd, Suite 203
Richland, WA 99352

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XN-35393 (ID)
Nurse Practitioner 363L00000XNP-917A (ID)
Nurse Practitioner Primary 363L00000XAP60240764 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114152758

Jerry G. Elliott, NP-C's National Provider Identifier is 1114152758, issued on May 27, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Richland, WA. The record was last updated on Nov 8, 2016.