Healthcare Provider Details

I. General information

NPI: 1710059266
Provider Name (Legal Business Name): BARBARA ELAINE ELLIOTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 CHARLESTOWN NEW ALBANY RD
JEFFERSONVILLE IN
47130
US

IV. Provider business mailing address

1714 CHARLESTOWN NEW ALBANY RD
JEFFERSONVILLE IN
47130
US

V. Phone/Fax

Practice location:
  • Phone: 812-271-4240
  • Fax: 812-949-5794
Mailing address:
  • Phone: 812-271-4240
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number71000103
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: