National Provider Identifier
Jessica Lynn Ellis, LPN
Jessica Lynn Ellis, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 425-5874.
Profile Overview
- NPI
- 1003289950
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 01, 2015
- Last Updated
- November 01, 2015
Practice Location
- 414 Linden Pl
- Elmira, NY 14901-1622
Phone: (607) 425-5874
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003289950
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Jessica
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 414 Linden Pl
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1622
- Mailing Country
- US
- Mailing Phone
- (607) 425-5874
- Practice Street Address
- 414 Linden Pl
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1622
- Practice Country
- US
- Practice Phone
- (607) 425-5874
- Enumeration Date
- November 01, 2015
- Last Updated
- November 01, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)