JESSICA ELDER
NPI 1063931301
Student in an Organized Health Care Education/Training Program in Coralville, IA

Active since September 19, 2017
2212 E GRANTVIEW DR, CORALVILLE, IA 52241(217) 246-2921 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Jessica Elder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ELDER (NPI 1063931301) is an individual student in an organized health care education/training program in Coralville, Iowa and active in the NPI registry since September 2017. She maintains a secondary practice location in Coralville.

NPPES Registry Identity

NPI1063931301
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ELDER
Location Address2212 E GRANTVIEW DRCoralville, IA 52241-1396
Mailing Address2212 E Grantview DrCoralville, IA 52241-1396 · (217) 246-2921
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1063931301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2212 E GRANTVIEW DR, Coralville, IA 52241

Secondary Practice Location 1

Location 12212 E Grantview DrCoralville, IA 52241-1396 · Phone (217) 246-2921

Other Identifiers 1

OtherE3075715Emt-b

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Elder's NPI number?

The NPI number for Jessica Elder is 1063931301. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Jessica Elder located?

Jessica Elder practices at 2212 E Grantview Dr, Coralville, IA 52241. The listed phone number is (217) 246-2921.

What is Jessica Elder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Elder was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.