Individual provider · Type 1 NPI
Jordan Elyse Elliott, DNP
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1457130247
Active
Practice location
1520 W Harrison St
Chicago, IL 60607-3106
Mailing address
323 Illinois St
Crystal Lake, IL 60014-3618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209027471 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1457130247
Jordan Elyse Elliott, DNP's National Provider Identifier is 1457130247, issued on Sep 21, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2023.