Individual
MS. JENA RAE ELLERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, PMHNP-BC
Contact information
Practice address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Mailing address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126737
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G163095
IA
Other
Enumeration date
03/29/2014
Last updated
08/25/2022
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