IndividualActive
Jacquelyn Elliott
NPI 1760976526 · Licensed Practical Nurse · Orem, UT
Provider details
- NPI number
- 1760976526
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 68347673101 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
714 S State St
Orem, UT 84058-6366
Phone: (801) 426-6565
Approximate (ZIP-level) locationGet directions
Mailing address
714 S State St
Orem, UT 84058-6366
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.