National Provider Identifier

Jacqueline Darcel Nicole Elliott, LPN

Jacqueline Darcel Nicole Elliott, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 820-9883.

NPI 1558818732Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1558818732
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 06, 2016
Last Updated
September 06, 2016

Practice Location

  • 72 Roslyn St
  • Rochester, NY 14619-1825

Phone: (585) 820-9883

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558818732
Entity Type
Individual
Last Name
Elliott
First Name
Jacqueline
Middle Name
Darcel Nicole
Credential
LPN
Mailing Street Address
72 Roslyn St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1825
Mailing Country
US
Mailing Phone
(585) 820-9883
Practice Street Address
72 Roslyn St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1825
Practice Country
US
Practice Phone
(585) 820-9883
Enumeration Date
September 06, 2016
Last Updated
September 06, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)