Ellerbe, Jennifer K

Ellerbe, Jennifer K is an sole proprietor health care provider with primary practice located at 901 N 4Th St , Monroe LA 71201-5909. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Ellerbe, Jennifer K can be contacted via phone (318) 387-7817.

Contact Information

Primary practice address
901 N 4Th St Monroe LA 71201-5909
Phone: (318) 387-7817
Fax: (318) 322-0914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN046467 Louisiana

Profile Details

NPI number 1295929750
LBN Legal business name Ellerbe, Jennifer K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295929750 NPPES
Louisiana MEDICAID 1002178

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