Provider Demographics
NPI:1578993226
Name:THOMPSON-ELLIOTT, TIMIE (RN)
Entity Type:Individual
Prefix:
First Name:TIMIE
Middle Name:
Last Name:THOMPSON-ELLIOTT
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 1:2893 SUSSEX PLACE DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8084
Mailing Address - Country:US
Mailing Address - Phone:614-400-0780
Mailing Address - Fax:
Practice Address - Street 1:2893 SUSSEX PLACE DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8084
Practice Address - Country:US
Practice Address - Phone:614-400-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-16
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.388323163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health