Individual provider · Type 1 NPI
Bevin Lyle Ellenberg, CRNP
Nurse Practitioner · Jasper, AL
Practice location
3500 Highway 78 E Ste A
Jasper, AL 35501-8908
Fax (256) 534-2605
Mailing address
PO Box 18428
Huntsville, AL 35804-8428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-140234 (AL) |
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…
2 other providers at this address
Other nurse practitioner providers in Jasper
- Dana McCullar, CRNPNurse Practitioner Jasper, AL NPI 1215286026
- Paula J. Sweet, CRNPNurse Practitioner Jasper, AL NPI 1336251313
- Mallory Lea Franklin, FNP-CNurse Practitioner Jasper, AL NPI 1457182131
- Mary Mallory Martin, CRNPNurse Practitioner Jasper, AL NPI 1598286072
- Jon Aaron, CRNPNurse Practitioner Jasper, AL NPI 1811702467
- Erica Paige Hall, CRNPNurse Practitioner Jasper, AL NPI 1871016436
- Ashley Hartley Banks, CRNPNurse Practitioner Jasper, AL NPI 1902670151
- Angela Seals, CRNPNurse Practitioner Jasper, AL NPI 1962653782
About NPI 1780100776
Bevin Lyle Ellenberg, CRNP's National Provider Identifier is 1780100776, issued on Aug 21, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jasper, AL. The record was last updated on Jun 15, 2026.