Individual
JESSI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 DEAN ST, RAYNHAM, MA 02767-5158
(508) 558-3881
Mailing address
210 DEAN ST, RAYNHAM, MA 02767-5158
(508) 558-3881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2324223
MA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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