MR. JASON T ELLIOTT


Address: 12094 N Barn Owl Way, Boise, ID 83714-1363
Phone: 3024237286

MR. JASON T ELLIOTT (NPI# 1275199663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275199663
Entity Type Individual
Full Name MR. JASON T ELLIOTT
Credential AGACNP
Practice Address 12094 N Barn Owl Way
Boise
ID 83714-1363
Practice Telephone 3024237286
Mailing Telephone 3024237286
Enumeration Date 2019-05-12
Last Update Date 2020-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
61213 ID Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 12094 N BARN OWL WAY
City BOISE
State ID
Zip Code 83714-1363

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1871833327 Charmaine Read Social Worker 123 E. 44th St, Ste. A, Garden City, ID 83714 2013-02-20
1811206576 Bennett Medical Services Durable Medical Equipment & Medical Supplies 5220 Sawyer Court, Suite D, Garden City, ID 83714 2010-09-29
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336193598 Angela K. Hughes Nurse Practitioner 6933 W Emerald St, Boise, ID 83704-8616 2006-05-20
1174156962 Rachel Lynne Davis Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2020-02-20
1154823433 Christopher R Counsil Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2018-03-02
1992206742 Kellie Watson Nurse Practitioner 6140 W Curtisian Ave, Boise, ID 83704-8880 2018-02-27
1124562491 Kimberly Telfer Nurse Practitioner 1055 N Curtis Road, Boise, ID 83706 2016-12-06
1881140283 Ashley Ann Rood Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2016-08-26
1255706461 Jennifer Kienlen Nurse Practitioner 1075 N Curtis Rd, Suite 250, Boise, ID 83706-1300 2015-12-14
1386839132 Saint Alphonsus Specialty Services Inc Nurse Practitioner 6560 S Federal Way, Boise, ID 83716-9277 2007-09-13
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Competitor

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City BOISE
Zip Code 83714

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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