# FLORA ELLEN HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962248286
- **Authorized official:** FLORA JESTICE PMHNP (OWNER AND PROVIDER)
- **Authorized official phone:** (802) 505-9030

## Contact information

- **Practice address:** 159 STATE ST STE 102, MONTPELIER, VT 05602-3301
- **Practice address phone:** (802) 505-7337
- **Mailing address:** 159 STATE ST STE 102, MONTPELIER, VT 05602-3301
- **Mailing address phone:** (802) 505-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/27/2024
