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Contact Information

COURTNEY B ELLIOTT, RN, CPNP
100 W 15TH ST
BEARDSTOWN, IL62618-1774
 Phone: 217-323-2245
 Fax: 217-323-2684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for COURTNEY B ELLIOTT · (Female)

NPI Number 1487075305
Status Active
Credentials RN, CPNP
Entity Individual
Enumeration date 12/18/2013
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.430842
  • IL License # 209.012897
  • TN License # 18596
  • TN License # 199590
Hospital affiliation(s) Not Available
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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