Individual
JILL MARIE ELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP PMHNP-BC
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Mailing address
5620 OAK VIEW CT, SAVAGE, MN 55378
(952) 898-1133
(952) 435-6797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R1051964
MN
Other
Enumeration date
01/29/2009
Last updated
03/08/2019
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