Ellison, Jennifer

Ellison, Jennifer is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd , Springfield IL 62704-7400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellison, Jennifer can be contacted via phone (217) 862-0800.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Springfield IL 62704-7400
Phone: (217) 862-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014641 Illinois

Profile Details

NPI number 1669927984
LBN Legal business name Ellison, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 10 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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