Individual
MS. JODI-ANN SADE ELLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
6612 DAHLIA DR, MIRAMAR, FL 33023-4911
(786) 375-0183
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000994
FL
367500000X
Certified Registered Nurse Anesthetist
RN9327731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11000994
APRN
FL
01
—
9327731
RN LICENSE
FL
Enumeration date
01/04/2019
Last updated
12/03/2025
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