Ellington, Betty Jo

Ellington, Betty Jo is an individual health care provider with primary practice located at 1413 Russell Ave , Jefferson City TN 37760-2562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellington, Betty Jo can be contacted via phone (865) 471-5525.

Contact Information

Primary practice address
1413 Russell Ave Jefferson City TN 37760-2562
Phone: (865) 471-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006086 Tennessee

Profile Details

NPI number 1114909538
LBN Legal business name Ellington, Betty Jo
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Sep 10th, 2019 - about 5 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 1114909538 NPPES
Tennessee Other 200382097 TAX I.D.
Tennessee Other 1508879719 TAX I.D.
Tennessee Other 4075540 TAX I.D.
Tennessee Other 4155963 TAX I.D.

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