Ellison, Jenna

Ellison, Jenna is an sole proprietor health care provider with primary practice located at 4030 Wake Forest Rd Ste 349 , Raleigh NC 27609-0010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellison, Jenna can be contacted via phone (919) 438-1626.

Contact Information

Primary practice address
4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010
Phone: (919) 438-1626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 5608 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5608 North Carolina

Profile Details

NPI number 1609428168
LBN Legal business name Ellison, Jenna
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2019
Last updated Mar 25th, 2022 - about 3 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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