Ellis, Jeannette K.

Ellis, Jeannette K. is an individual health care provider with primary practice located at 795 Ross Clark Cir , Dothan AL 36303-5351. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Ellis, Jeannette K. can be contacted via phone (334) 699-6600.

Contact Information

Primary practice address
795 Ross Clark Cir Dothan AL 36303-5351
Phone: (334) 699-6600
Fax: (334) 699-2156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1033239 Alabama

Profile Details

NPI number 1336388040
LBN Legal business name Ellis, Jeannette K.
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 19th, 2009 - about 16 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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