Individual provider · Type 1 NPI
Jacquelyn B. Ellison, FNP, NP-C
Nurse Practitioner · Pascagoula, MS
Practice location
4105 Hospital Road, Ste 103
Pascagoula, MS 39581
Mailing address
116 Mill Street Ext
Lucedale, MS 39452-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903206 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1760945448
Jacquelyn B. Ellison, FNP, NP-C's National Provider Identifier is 1760945448, issued on Apr 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pascagoula, MS. The record was last updated on Apr 10, 2019.