Individual
JEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 WALNUT ST, MCKEESPORT, PA 15132-2801
(412) 675-8530
(412) 675-8920
Mailing address
500 WALNUT ST, MCKEESPORT, PA 15132-2801
(412) 675-8530
(412) 675-8920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN317364L
PA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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