Individual
CARMEN CAMILLE ELLIS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4336
(856) 690-5224
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4336
(856) 690-5229
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
26NO08768100
NJ
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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