Jeanette Ilene Ellis, NURSE ANESTHETIST
NPI #1184191363 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1184191363
- Entity Type
- Individual
- Name
- Jeanette Ilene Ellis, NURSE ANESTHETIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- NURSE ANESTHETIST
- Enumeration Date
- Oct 25, 2018
- Last Updated
- Oct 25, 2018
Practice Location
- Address
- 2 GOOD SAMARITAN WAY STE 205
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2476
- Phone
- (618) 899-3869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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