JESSICA I ELLIGOTT, CDCES, MS, RDN, CDN VANCOUVER, WA

Contact Information

JESSICA I ELLIGOTT, CDCES, MS, RDN, CDN

2101 NE 139TH ST STE 460
VANCOUVER, WA 98686-2325

Phone: 360-360-4872
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diabetes Educator	163WD0400X
Dietitian, Registered	133V00000X	71	Registered Dietitian or Nutrition Professional

Indicates primary specialty

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NPI Profile & details for JESSICA I ELLIGOTT · (Female)

NPI #	`1154967461`
Status	Active
Credentials	CDCES, MS, RDN, CDN
Entity	Individual
Enumeration date	11/21/2019
Last updated	11/07/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	OR License # DI60596850 WA License # DI60596850
Hospital affiliation(s)	LEGACY SALMON CREEK MEDICAL CENTER - (Acute Care) 2211 NE 139TH STREET VANCOUVER, WA 98686

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JESSICA I ELLIGOTT, CDCES, MS, RDN, CDN – NPI #1154967461Diabetes Educator

Contact Information

Specialty

Diabetes Educator

Dietitian, Registered

NPI Profile & details for JESSICA I ELLIGOTT · (Female)

Reviews for JESSICA I ELLIGOTT

JESSICA I ELLIGOTT, CDCES, MS, RDN, CDN – NPI #1154967461
Diabetes Educator