Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Devonda Y Elliott

Individual provider Recreation Therapist · NPI 1962029389

Devonda Y Elliott is a Recreation Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 364-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X
Recreation Therapist Taxonomy 225800000X · Licence 53246 (MS)

Record details

NPI number1962029389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116

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