Ellis, Jamie Lou
Ellis, Jamie Lou is an individual health care provider with primary practice located at 25 S River Rd , Bedford NH 03110-6715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Jamie Lou can be contacted via phone (603) 695-2572.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 026952-23-03 | New Hampshire |
Profile Details
| NPI number | 1518900158 |
|---|---|
| LBN Legal business name | Ellis, Jamie Lou |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 17th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518900158 | NPPES |
| New Hampshire | MEDICAID | 30342201 |
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