Individual
MS. JAMIE PATRICIA ELLINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5733 CLEARFIELD LN, DUBLIN, OH 43016-2241
(614) 798-8843
Mailing address
1724 W 3RD AVE APT B, COLUMBUS, OH 43212-2790
(614) 425-8341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.127515-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2763684
7 DIGIT OHIO PROVIDER #
OH
Enumeration date
05/14/2007
Last updated
10/15/2007
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