Individual provider · Type 1 NPI
Jessica Ellington, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1972195337
Active
Practice location
4795 SW Watson Ave
Beaverton, OR 97005-0512
Fax (971) 231-0217
Mailing address
600 Sun Temple Dr
Madison, AL 35758-8643
Other practice locations
- 1001 SW Disk Dr Ste 250, Bend, OR 97702-3754 · (541) 293-1325
- 300 Carter Dr, Grove Hill, AL 36451-3306 · (251) 575-4203
- 7101 US Highway 90 Ste 103, Daphne, AL 36526-9510 · (256) 701-5651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10031835 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-151047 (AL) |
| Registered Nurse | 163W00000X | 1-151047 (AL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 313139 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972195337
Jessica Ellington, PMHNP's National Provider Identifier is 1972195337, issued on Feb 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Jul 30, 2026.