Individual
MS. JEANNE LOUISE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12322 GEORGE DR, BROOKSVILLE, FL 34613-5625
(352) 556-3865
(352) 556-3865
Mailing address
12322 GEORGE DR, BROOKSVILLE, FL 34613-5625
(352) 556-3865
(352) 556-3865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9285145
FL
163WH0200X
Home Health Registered Nurse
282153
MA
Other
Enumeration date
01/05/2009
Last updated
03/29/2010
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