Individual
JUSTIN MICHAEL ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
(423) 495-4349
(423) 495-4934
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196881
TN
163W00000X
Registered Nurse
9344794
FL
163WR0006X
Registered Nurse First Assistant
31438
TN
363L00000X
Nurse Practitioner
31438
TN
363L00000X
Nurse Practitioner
60350
NM
363L00000X
Nurse Practitioner
Primary
CP003314
SD
363L00000X
Nurse Practitioner
N360677930
WA
Other
Enumeration date
06/02/2016
Last updated
03/17/2025
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