Jarmaine Lee Ellis LPN

NPI 1306000310 - Clinical Nurse Specialist - 364SL0600X

NPI Details
NPI 1306000310
Gender Male
Enumeration Date 07/18/2008
Last Updated 07/18/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4533 N 67TH STREET
MILWAUKEE WI, 53218, US
Phone (414) 461-2977
Fax (414) 461-2977
Business Location
4533 N 67TH STREET
MILWAUKEE WI, 53218, US
Phone (414) 461-2977
Fax (414) 461-2977
Toxanomy
Taxonomy Code 364SL0600X
License State Wisconsin
License Number 306353-031
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According to our database, Mr. Jarmaine Lee Ellis LPN NPI is 1306000310, taxonomy code is 364SL0600X and license number is 306353-031, license state is located at Wisconsin. Jarmaine Lee Ellis LPN physically located at 4533 N 67th Street, Milwaukee WI, 53218. NPI Number Jarmaine Lee Ellis LPN has the Individual type.

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1306000310 NPI number is provided on an as is basis without warranty of any kind. 1306000310 is maintained by the National Plan & Provider Enumeration System. The contents of Jarmaine Lee Ellis LPN are for informational purposes only.