Individual provider · Type 1 NPI

Jill Ellsworth, FNP-C

Nurse Practitioner · Ellisville, MO

NPI number 1790145910 Active

Practice location

16105 Manchester Rd
Ellisville, MO 63011-2001

Call (314) 687-2718 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

324 Emerson Rd, High Ridge, MO 63049-2542 · (636) 677-9977

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	2016002971 (MO)
Nurse Practitioner Primary	363L00000X	2016002971 (MO)

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 1790145910

Jill Ellsworth, FNP-C's National Provider Identifier is 1790145910, issued on Mar 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ellisville, MO. The record was last updated on Nov 10, 2020.