Individual provider · Type 1 NPI

Jordan Ellifson, RN

Addiction (Substance Use Disorder) Registered Nurse · Eau Claire, WI

NPI number 1174120240 Active

Practice location

3440 Oakwood Hills Pkwy
Eau Claire, WI 54701-7698

Fax (715) 214-2512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X256332 (WI)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1174120240

Jordan Ellifson, RN's National Provider Identifier is 1174120240, issued on Oct 2, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Eau Claire, WI. The record was last updated on Oct 2, 2020.