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Individual

JEANETTE ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6957 CALIFORNIA AVE SW, SEATTLE, WA 98136-1953
(206) 935-6228
(206) 932-4856
Mailing address
4742 42ND AVE SW, SEATTLE, WA 98116-4553
(206) 200-8598

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60449766
WA

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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