Individual provider · Type 1 NPI

Jack Elliott

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1457215147 Active

Practice location

1960 N Holy Names Ct Fl 3
Spokane, WA 99224-5803

Call (509) 242-2308 Map

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.

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About NPI 1457215147

Jack Elliott's National Provider Identifier is 1457215147, issued on Dec 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Dec 16, 2025.