Individual provider · Type 1 NPI
Jamie L. Ellis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Queensbury, NY
NPI number
1508806779
Active
Practice location
161 Carey Rd
Queensbury, NY 12804-7821
Fax (518) 824-2390
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 400698 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508806779
Jamie L. Ellis, PMHNP-BC's National Provider Identifier is 1508806779, issued on Jun 7, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queensbury, NY. The record was last updated on Oct 7, 2026.