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

Primary practice address
25 S River Rd Bedford NH 03110-6715
Phone: (603) 695-2572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518900158 NPPES
New Hampshire MEDICAID 30342201

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