Individual
MS. JENNIFER JO ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
756 WOODBURY HWY, GREENVILLE, GA 30222-1514
(706) 775-0543
(706) 672-3305
Mailing address
753 SUNNYSIDE RD, THOMASTON, GA 30286-3372
(706) 975-3452
(706) 672-3305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN057366
GA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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