Individual provider · Type 1 NPI
Jeanette Leann Ellison, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1437030616
Active
Practice location
2824 E Donner Dr
Phoenix, AZ 85042-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 254185 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1437030616
Jeanette Leann Ellison, PMHNP-C's National Provider Identifier is 1437030616, issued on Sep 11, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2025.