Individual provider · Type 1 NPI

Carmen Camille Ellis-Jackson, RN

Gerontology Registered Nurse · Vineland, NJ

NPI number 1568042281 Active

Practice location

524 N West Blvd
Vineland, NJ 08360-2845

Fax (856) 690-5224

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse Primary 163WG0600X26NO08768100 (NJ)

Gerontology Registered Nurse: Definition to come...

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About NPI 1568042281

Carmen Camille Ellis-Jackson, RN's National Provider Identifier is 1568042281, issued on Apr 8, 2021. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Vineland, NJ. The record was last updated on Apr 8, 2021.