Individual
DR. BETTY JO ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1413 RUSSELL AVE, JEFFERSON CITY, TN 37760-2562
(865) 471-5525
Mailing address
1413 RUSSELL AVE, JEFFERSON CITY, TN 37760-2562
(865) 471-5525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508879719
GROUP NPI
TN
01
—
200382097
TAX I.D.
TN
01
—
4075540
BLUE CROSS BLUE SHIELD
TN
01
—
4155963
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/20/2005
Last updated
09/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us