Individual provider · Type 1 NPI
Jessica Ellison, NTP, BSN, RN
Nutrition Support Registered Nurse · Trussville, AL
NPI number
1609792076
Active
Practice location
160 Lake Ridge Dr
Trussville, AL 35173-3855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Support Registered Nurse Primary | 163WN1003X | 1-113555 (AL) |
Nutrition Support Registered Nurse: Definition to come...
About NPI 1609792076
Jessica Ellison, NTP, BSN, RN's National Provider Identifier is 1609792076, issued on Jun 29, 2026. The primary taxonomy on file is Nutrition Support Registered Nurse (163WN1003X), and the practice location is in Trussville, AL. The record was last updated on Jun 29, 2026.