Individual
MS. JENNIFER ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2562 BONNY BROOK DR, HOWELL, MI 48843-6841
(734) 417-9904
Mailing address
2562 BONNY BROOK DR, HOWELL, MI 48843-6841
(734) 417-9904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704233213
MI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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