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Individual
MRS. JENNIFER MARIE ELLISON
Active
Individual
MRS. JENNIFER MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
146144
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
23443
TN
Other
Enumeration date
09/29/2017
Last updated
05/16/2025
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