Individual provider · Type 1 NPI
John Wesley Elliott Iii, CPNP-AC
Pediatric Nurse Practitioner · St. Petersburg, FL
NPI number
1821496324
Active
Practice location
601 5th St S
St. Petersburg, FL 33701-4804
Fax (727) 767-2265
Mailing address
501 6th Ave S
St. Petersburg, FL 33701-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | COA-16296-NP (OH) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | ARNP9398367 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1821496324
John Wesley Elliott Iii, CPNP-AC's National Provider Identifier is 1821496324, issued on Dec 15, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 15, 2015.