Individual provider · Type 1 NPI

Emilee Nicole Ellingsworth

Registered Nurse · Glen Carbon, IL

NPI number 1972491264 Active

Practice location

90 Magnolia Dr Unit 1301
Glen Carbon, IL 62034-1590

Mailing address

23 N Cherry Hls
Edwardsville, IL 62025-3771

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041521416 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1972491264

Emilee Nicole Ellingsworth's National Provider Identifier is 1972491264, issued on Jun 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jun 25, 2025.