Individual provider · Type 1 NPI
Jewelia Ellis, RN
Addiction (Substance Use Disorder) Registered Nurse · Dayton, OH
NPI number
1003625682
Active
Practice location
4977 Northcutt Pl
Dayton, OH 45414-3839
Mailing address
177 Lee Dr
Monroe, OH 45050-1606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | RN523736 (OH) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1003625682
Jewelia Ellis, RN's National Provider Identifier is 1003625682, issued on Jan 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Dayton, OH. The record was last updated on Feb 17, 2026.