Individual
JESSICA CAITLIN ELLZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
800 ROSE ST FL 4, LEXINGTON, KY 40536-7001
(859) 218-0921
(859) 257-1831
Mailing address
678 SHERIDAN DR, LEXINGTON, KY 40503-1726
(502) 403-7446
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
1152126
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4023701
KY
Other
Enumeration date
04/10/2024
Last updated
07/22/2024
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