Individual provider · Type 1 NPI

Jacqueline Ellis

Certified Registered Nurse Anesthetist · Grand Rapids, MI

NPI number 1629596085 Active

Practice location

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493

Call (616) 364-4200 Map

Fax (616) 364-7347

Other practice locations

100 Michigan St NE, Grand Rapids, MI 49503-2560 · (616) 364-4200

Specialties and licenses

Taxonomy	Code	License
Anesthesiology Physician	207L00000X	4704360147 (MI)
Certified Registered Nurse Anesthetist Primary	367500000X	4704360147 (MI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1629596085

Jacqueline Ellis's National Provider Identifier is 1629596085, issued on Sep 6, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 4, 2023.