Individual
JEWELIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
177 LEE DR, MONROE, OH 45050-1606
(513) 816-3200
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN523736
OH
Other
Enumeration date
01/07/2025
Last updated
02/17/2026
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