Individual
MR. JONATHAN ELLSWORTH CARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2300
Mailing address
3556 W CHISM CT, TAYLORSVILLE, UT 84129-3244
(385) 887-3186
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
8636233-3102
UT
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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