Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERROLD PAUL ELLIOTT III, PA-C
ActiveJERROLD PAUL ELLIOTT III, PA-C is a Medical Physician Assistant healthcare provider located in GUERNEVILLE, California. NPI 1982854618 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GUERNEVILLE, CA
Registration Details
- NPI Number
- 1982854618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2008 (17.85804040538 yrs)
- Last Updated
- Jan 25, 2021
- Licenses
-
2666 (CO)PA20527 (CA)
Practice Information
- Address
-
16319 THIRD STREETGUERNEVILLE, CA, 95446Browse CA providers · Browse ZIP 95446
- Phone
- 7078695977
- Fax
- 7078695983
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in GUERNEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| AIMEE LAURENNE GREENFIELD | PA-C | 1093231920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.