Provider Demographics
NPI:1417905373
Name:JALLORINA, ELENA ACOSTA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:ACOSTA
Last Name:JALLORINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4212
Mailing Address - Country:US
Mailing Address - Phone:254-247-8595
Mailing Address - Fax:
Practice Address - Street 1:CARL R DARNALL ARMY MEDICAL CENTER
Practice Address - Street 2:BLDG 36000
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-2703
Practice Address - Country:US
Practice Address - Phone:254-288-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX636234163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care