Individual provider · Type 1 NPI

Judith M. Ellis, NP

Nurse Practitioner · Brooklyn, NY

NPI number 1851383939 Active

Practice location

1 Brookdale Plz
Brooklyn, NY 11212-3139

Fax (718) 240-8063

Mailing address

296 Rockaway Pkwy
Brooklyn, NY 11212-3352

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF381716-1 (NY)

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 1851383939

Judith M. Ellis, NP's National Provider Identifier is 1851383939, issued on Aug 16, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.