Provider Demographics
NPI:1396186086
Name:ELLIOTT-COX, CHRISTY T (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:T
Last Name:ELLIOTT-COX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3044 BARDSTOWN RD # 287
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3020
Mailing Address - Country:US
Mailing Address - Phone:502-749-3894
Mailing Address - Fax:502-749-2873
Practice Address - Street 1:225 N CLIFTON AVE STE 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2438
Practice Address - Country:US
Practice Address - Phone:502-749-3894
Practice Address - Fax:502-749-2873
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100253990Medicaid
KY7100405580Medicaid
KY7100405580Medicaid