Ellison, Jacqueline Ann

Ellison, Jacqueline Ann is an individual health care provider with primary practice located at 2015 W 5Th St , Storm Lake IA 50588-3000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellison, Jacqueline Ann can be contacted via phone (712) 732-6650.

Contact Information

Primary practice address
2015 W 5Th St Storm Lake IA 50588-3000
Phone: (712) 732-6650
Fax: (712) 732-6632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A160841 Iowa

Profile Details

NPI number 1437766201
LBN Legal business name Ellison, Jacqueline Ann
Credentials DNP, ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2020
Last updated Jul 5th, 2023 - about last year

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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