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Individual
MISS JERIKA SUE ELLIS
Active
Individual
MISS JERIKA SUE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28276306A
IN
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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